Shaundelette Nelson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP08669 Issued in LA

Practice address

4336 North Blvd Ste 203
Baton Rouge, LA 70806-3920

Phone

(225) 364-7767

NPI assigned

Apr 26, 2016

Last updated

Apr 26, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capitol City Family Health Center IncorporatedGroup PAC ID 5193639151, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shaundelette.nelson.1@16720.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Capitol City Family Health Center Incorporated

  dba CareSouth

  • Federally Qualified Health Center (FQHC)
  • Baton Rouge, LA
  • NPI 1265548614
  Medicare reassignment Care Compare group NPD
• Capitol City Family Health Center, Incorporated

  dba CareSouth

  • Federally Qualified Health Center (FQHC)
  • Baton Rouge, LA
  • NPI 1720965767
  NPD

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1770938813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4336 NORTH BLVD STE 203",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063920",
            "telephone_number": "225-364-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4336 NORTH BLVD STE 203",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063920",
            "telephone_number": "225-364-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "SHAUNDELETTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenzie Ann Nelson, PA
• Michele Vidrine Nelson, LCSW
• Michelle R. Nelson
• Raymond Nelson
• Scott Kimberly Nelson, MD
• Shavon Nelson
• Terri Keller Nelson, M.S., R.D., L.D.N.
• Darlyne Gaynor Nemeth, PH.D.
• Neokids LLC
• Nephrology Management LLC

• Family Nurse Practitioner in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.