Individual provider Active NPI

Shaneka Evans, APRN

  • Nurse Practitioner
  • Breaux Bridge, LA
National Provider Identifier
1881408508
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
240197 Issued in LA
Practice address
280A Rees St
Breaux Bridge, LA 70517-4612
Phone
(337) 294-0701
NPI assigned
Feb 4, 2025
Last updated
May 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1181107 TX
Nurse Practitioner 363L00000X 240197 LA Primary

Addresses

Primary practice location

280A Rees St
Breaux Bridge, LA 70517-4612

Mailing address

2730 Bergen Bay LN
Fresno, TX 77545-1560
Phone (281) 906-3788

Other practice location 1

2730 Bergen Bay Ln
Fresno, TX 77545-1560
Phone (281) 906-3788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250516001740 LA Practitioner - Nurse Practitioner 0345768065 Reassigns benefits to 2 organizations
I20260327000923 MS Practitioner - Nurse Practitioner 0345768065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calcasieu Urgent Care LLCGroup PAC ID 5496908071, shared by 4 NPIs, 132 clinicians

Practice addresses (Care Compare)

1225 N Parkerson Ave
Crowley Urgent Care
Crowley, LA 70526-3611
Phone (337) 426-0919

1910 Main St
Franklin, LA 70538-3116
Phone (337) 907-3254

213 W Veterans Meml Dr
Kaplan, LA 70548-4918
Phone (337) 282-1096

2640 Country Club Rd
Suite 400
Lake Charles, LA 70605-6079
Phone (337) 426-0919

280 A Rees St
Breaux Bridge, LA 70517-4612
Phone (337) 294-0701

34807 La Hwy 16
Denham Springs, LA 70706-0669
Phone (225) 269-9223

387 W Railroad Ave
Independence, LA 70443-2292
Phone (985) 606-4080

902 Main St
Baker, LA 70714-3444
Phone (225) 500-2504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
240197LAMDNurse Practitioner
1181107TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Urgent Care, LLC CurrentSince Apr 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Apr 1, 2025 Accepting new patients
Upperline Healthcare, PC Nurse Practitioner CurrentSince Sep 1, 2025 Accepting new patients

Locations

280A Rees St
Breaux Bridge, LA 70517
Phone (337) 294-0701

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

1121 Polk St
Mansfield, LA 71052
Phone (318) 575-2143

132 Well Rd
West Monroe, LA 71291
Phone (318) 217-6521

Interoperability endpoints

  • Direct secure messaging: sevans776076@direct.ochin.org

Organizations & group practices 5

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": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1881408508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 BERGEN BAY LN",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775451560",
            "telephone_number": "281-906-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280A REES ST",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705174612",
            "telephone_number": "337-294-0701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2730 Bergen Bay Ln",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "TX",
            "postal_code": "775451560",
            "country_code": "US",
            "telephone_number": "281-906-3788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "SHANEKA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1181107",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "240197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Breaux Bridge, LA

Sources for this page

Verify at the official NPI Registry.