Active NPI
Shurvella Andrea Hamilton, MSW
- Case Manager/Care Coordinator
- Minden, LA
National Provider Identifier
1871002964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 14504
- Practice address
- 305 Homer Rd
Minden, LA 71055-2833 - Phone
- (318) 639-9562
- NPI assigned
- Sep 21, 2017
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 14504 | LA | Primary |
Addresses
Primary practice location
305 Homer Rd
Minden, LA 71055-2833
Mailing address
4751 North Market Street
Shreveport, LA 71107-8014
Phone (318) 424-8735
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14504 | LA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1871002964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4751 NORTH MARKET STREET",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711078014",
"telephone_number": "318-424-8735",
"fax_number": "318-424-8739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 HOMER RD",
"city": "MINDEN",
"state": "LA",
"postal_code": "710552833",
"telephone_number": "318-639-9562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "SHURVELLA",
"middle_name": "ANDREA",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-21",
"last_updated": "2021-11-15",
"certification_date": "2021-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": "14504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minden, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.