Active NPI
Shonte' Patrice Daniels
- Family Nurse Practitioner
- Vidalia, LA
National Provider Identifier
1821552068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F08180268
- Practice address
- 107 Front St Ste 2134
Vidalia, LA 71373-2834 - Phone
- (318) 336-2212
- Fax
- (318) 336-6067
- NPI assigned
- Jan 22, 2019
- Last updated
- Jan 22, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F08180268 | LA | Primary |
Addresses
Primary practice location
107 Front St Ste 2134
Vidalia, LA 71373-2834
Mailing address
354 Deacon Wailes Rd
Ferriday, LA 71334-4300
Phone (713) 247-9574
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F08180268 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients |
Locations
201 Victory Blvd
Ste 200
Monroe, LA 71203
Phone (877) 917-7010
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1821552068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "354 DEACON WAILES RD",
"city": "FERRIDAY",
"state": "LA",
"postal_code": "713344300",
"telephone_number": "713-247-9574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 FRONT ST STE 2134",
"city": "VIDALIA",
"state": "LA",
"postal_code": "713732834",
"telephone_number": "318-336-2212",
"fax_number": "318-336-6067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "SHONTE'",
"middle_name": "PATRICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-22",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "F08180268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vidalia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.