Active NPI
Shenell Deville
- Developmental Therapist
- Baton Rouge, LA
National Provider Identifier
1821460031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 8850 United Plaza Blvd
Ste 702-N
Baton Rouge, LA 70809-0200 - Phone
- (504) 390-1615
- NPI assigned
- Oct 27, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
8850 United Plaza Blvd
Ste 702-N
Baton Rouge, LA 70809-0200
Mailing address
500 Fairyway Drive, Ste 102
Butterfly Effects
Deerfield Beach, FL 33441
Phone (888) 880-9279
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": "1445904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445904000000",
"number": "1821460031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 FAIRYWAY DRIVE, STE 102",
"address_2": "BUTTERFLY EFFECTS",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "33441",
"telephone_number": "888-880-9279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8850 UNITED PLAZA BLVD",
"address_2": "STE 702-N",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708090200",
"telephone_number": "504-390-1615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVILLE",
"first_name": "SHENELL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-27",
"last_updated": "2015-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.