Individual provider Active NPI

Shavon Holland

  • Psychiatric/Mental Health Nurse Practitioner
  • Covington, LA
National Provider Identifier
1801626577
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
236896 Issued in LA
Practice address
671 River Highlands Blvd Ste 8
Covington, LA 70433-8987
Phone
(985) 624-2942
Fax
(985) 231-1373
NPI assigned
Aug 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 236896 LA Primary

Addresses

Primary practice location

671 River Highlands Blvd Ste 8
Covington, LA 70433-8987

Mailing address

671 River Highlands Blvd Ste 8
Covington, LA 70433-8987
Phone (985) 624-2942

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
I20241115001613 LA Practitioner - Nurse Practitioner 8921532789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Behavioral Health ServicesGroup PAC ID 4587027834, 6 clinicians

Practice addresses (Care Compare)

10755 Linkwood CT
Baton Rouge, LA 70810-2901
Phone (225) 317-9419

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Behavioral Health Services CurrentSince Jul 31, 2023 Accepting new patients
Genesis Behavioral Health Services CurrentSince Nov 1, 2024 Accepting new patients

Locations

10755 Linkwood Ct
Baton Rouge, LA 70810
Phone (225) 317-9419

8714 Jefferson Hwy
Ste A
Baton Rouge, LA 70809
Phone (225) 431-5930

671 River Highlands Blvd
Ste 8
Covington, LA 70433
Phone (985) 624-2942

433 Metairie Rd
Ste 520
Metairie, LA 70005
Phone (225) 771-9980

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1801626577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 RIVER HIGHLANDS BLVD STE 8",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338987",
            "telephone_number": "985-624-2942",
            "fax_number": "985-231-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 RIVER HIGHLANDS BLVD STE 8",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338987",
            "telephone_number": "985-624-2942",
            "fax_number": "985-231-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "SHAVON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "236896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.