Individual provider Active NPI

Winoka Shenelle Banks, FNP

  • Family Nurse Practitioner
  • Kenner, LA
National Provider Identifier
1770714669
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
05865 Issued in LA
Practice address
1918 Williams Blvd
Jencare Neighborhood Medical Center WB, LLC
Kenner, LA 70062-6232
Phone
(504) 471-4860
Fax
(504) 471-4873
NPI assigned
Jul 27, 2009
Last updated
Feb 16, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 05865 LA Primary
Registered Nurse 163W00000X 086301 LA

Addresses

Primary practice location

1918 Williams Blvd
Jencare Neighborhood Medical Center WB, LLC
Kenner, LA 70062-6232

Mailing address

1918 Williams Blvd
Jencare Neighborhood Medical Center WB, LLC
Kenner, LA 70062-6232
Phone (504) 471-4860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110919000207 LA Practitioner - Nurse Practitioner 8921279241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
086301LAMDRegistered Nurse
05865LAMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1770714669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 WILLIAMS BLVD",
            "address_2": "JENCARE NEIGHBORHOOD MEDICAL CENTER WB, LLC",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700626232",
            "telephone_number": "504-471-4860",
            "fax_number": "504-471-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 WILLIAMS BLVD",
            "address_2": "JENCARE NEIGHBORHOOD MEDICAL CENTER WB, LLC",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700626232",
            "telephone_number": "504-471-4860",
            "fax_number": "504-471-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "WINOKA",
        "middle_name": "SHENELLE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "05865",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "086301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

Verify at the official NPI Registry.