Active NPI
Shannon Lynn Taylor I, LICENSED COSMETOLOGI
- Durable Medical Equipment & Medical Supplies
- Geismar, LA
National Provider Identifier
1831771633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Practice address
- 12186 Deventer Dr
Geismar, LA 70734-3372 - Phone
- (504) 342-7603
- NPI assigned
- Apr 22, 2021
- Last updated
- Apr 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
12186 Deventer Dr
Geismar, LA 70734-3372
Mailing address
12186 Deventer Dr
Geismar, LA 70734-3372
Phone (504) 342-7603
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Shannonfoxworthmakeup@gmail.com | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pink & Pouty Makeup and Hair Studio LLC | Current | Accepting new patients | |
| Pink & Pouty Makeup and Hair Studio LLC | Durable Medical Equipment & Medical Supplies | Current | Accepting new patients |
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.
-
- Durable Medical Equipment & Medical Supplies
- Metairie, LA
- NPI 1952977589
-
- Prosthetic/Orthotic Supplier
- Metairie, LA
- NPI 1750229399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619049600000",
"number": "1831771633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12186 DEVENTER DR",
"city": "GEISMAR",
"state": "LA",
"postal_code": "707343372",
"telephone_number": "504-342-7603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12186 DEVENTER DR",
"city": "GEISMAR",
"state": "LA",
"postal_code": "707343372",
"telephone_number": "504-342-7603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "SHANNON",
"middle_name": "LYNN",
"name_suffix": "I",
"credential": "LICENSED COSMETOLOGI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-22",
"last_updated": "2021-04-22",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Shannonfoxworthmakeup@gmail.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "12186 Deventer Dr",
"city": "Geismar",
"state": "LA",
"country_code": "US",
"postal_code": "707343372",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Geismar, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.