Individual provider Active NPI

Shannon Marie Degruy, MSW,RSW

  • Case Manager/Care Coordinator
  • New Orleans, LA
National Provider Identifier
1821453580
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
4825 Lonely Oak Dr
New Orleans, LA 70126-4231
Phone
(504) 667-9422
NPI assigned
Dec 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6877 LA
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

4825 Lonely Oak Dr
New Orleans, LA 70126-4231

Mailing address

4825 Lonely Oak Dr
New Orleans, LA 70126-4231
Phone (504) 667-9422

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

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1821453580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 LONELY OAK DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701264231",
            "telephone_number": "504-667-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 LONELY OAK DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701264231",
            "telephone_number": "504-667-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRUY",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "MSW,RSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-23",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "6877",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.