Individual provider Active NPI

Sherrelle Hawkins Beardon, RN

  • Home Health Registered Nurse
  • Baton Rouge, LA
National Provider Identifier
1780329565
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
114381 Issued in LA
Practice address
8246 Brennen Dr
Baton Rouge, LA 70818-5751
Phone
(225) 324-0954
Fax
(225) 261-9442
NPI assigned
May 4, 2022
Last updated
May 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 114381 LA Primary

Addresses

Primary practice location

8246 Brennen Dr
Baton Rouge, LA 70818-5751

Mailing address

8246 Brennen Dr
Baton Rouge, LA 70818-5751
Phone (225) 324-0954

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ivleagueofla@yahoo.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
114381LAMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1780329565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8246 BRENNEN DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708185751",
            "telephone_number": "225-324-0954",
            "fax_number": "225-261-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8246 BRENNEN DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708185751",
            "telephone_number": "225-324-0954",
            "fax_number": "225-261-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARDON",
        "first_name": "SHERRELLE",
        "middle_name": "HAWKINS",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "LA",
            "license": "114381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ivleagueofla@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "ivleagueofla@yahoo.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8246 Brennen Dr",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708185751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.