Shelly Marie Spaulding, NP
Individual provider Active NPI Family Nurse Practitioner · Washington, LA
NPI 1801510235 · NPPES record last updated Sep 29, 2022
Key facts
- NPI
- 1801510235
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 227434 (LA)
- Practice address
- 536 Veterans Memorial Blvd
Washington, LA 70589 - Phone
- (337) 826-7702
- NPI assigned
- Sep 29, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CLHG-Ville Platte LLC | Current |
Accepting new patients | |
| CLHG-Acadian LLC | Current |
Accepting new patients | |
| LHCG Clxix, LLC | Family Medicine | Current |
Accepting new patients |
Locations
828 Creswell Ln
Opelousas, LA 70570
Phone (337) 942-8088
821 N Union St
Opelousas, LA 70570
Phone (337) 942-8677
536 Veterans Blvd
Washington, LA 70589
Phone (337) 628-5014
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 227434 | LA | |
| Family Nurse Practitioner | 363LF0000X | 227434 | LA | Yes |
Addresses
Primary practice location
536 Veterans Memorial Blvd
Washington, LA 70589
Mailing address
111 Woodhaven Rd
Youngsville, LA 70592-6283
Phone (308) 390-6186
Other providers in Washington, LA
- Melville Pharmacy and Gift Shoppe Inc
- Bridget Ortego
- Our Lady of Guadalupe Pharmacy
- Crystal Marie Sattler
- Olivia Muller Smith
- Tara D Thistlethwaite
- Angelique Vidrine
- Jamie Vidrine
All providers in Washington, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.