Individual provider Active NPI

Shaunda Katrise Grisby

  • Surgery Physician
  • Lafayette, LA
National Provider Identifier
1871811133
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
307013 Issued in LA
Practice address
1448 S College Rd
Lafayette, LA 70503-2920
Phone
(337) 571-1300
Fax
(337) 571-1301
NPI assigned
May 12, 2010
Last updated
Jul 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 307013 LA Primary

Addresses

Primary practice location

1448 S College Rd
Lafayette, LA 70503-2920

Mailing address

1448 S College Rd
Lafayette, LA 70503-2920
Phone (337) 571-1300

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171031000783 LA Practitioner - Surgical OncologyPractitioner - General SurgeryPractitioner - Other (Physician) 7810293248 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7991

1448 S College Rd
Breast Center at LGMC
Lafayette, LA 70503-2920
Phone (337) 289-8222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette General Medical Center Inc. CurrentSince Feb 24, 2020 Accepting new patients
Lsuhn Billing LLC CurrentSince Sep 15, 2017 Accepting new patients
University Hospital & Clinics, Inc. CurrentSince Mar 1, 2019 Accepting new patients
Lafayette General Medical Center Inc. CurrentSince Feb 24, 2020 Accepting new patients
University Hospital & Clinics Inc CurrentSince Mar 1, 2019 Accepting new patients
Lsuhn Billing LLC CurrentSince Sep 15, 2017 Accepting new patients
Lsumc University Medical Center Past Accepting new patients

Locations

1000 W Pinhook Rd
Ste 310
Lafayette, LA 70503
Phone (337) 233-9900

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

1448 S College Rd
Lafayette, LA 70503
Phone (318) 233-5300

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

Interoperability endpoints

  • Direct secure messaging: sgrisby1443552@direct.ochsner.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1871811133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 S COLLEGE RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032920",
            "telephone_number": "337-571-1300",
            "fax_number": "337-571-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 S COLLEGE RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032920",
            "telephone_number": "337-571-1300",
            "fax_number": "337-571-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISBY",
        "first_name": "SHAUNDA",
        "middle_name": "KATRISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "307013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.