Shannon Dale Hanks, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F1081710 Issued in LA

Practice address

19503 Lake Charles Hwy
Deridder, LA 70634-2313

Phone

(337) 918-0422

Fax

(337) 234-3484

NPI assigned

Dec 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beauregard Memorial Hospital Hospital, Deridder, LA, CCN 190050

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hanks Health and Wellness, LLC

  • Family Nurse Practitioner
  • Deridder, LA
  • NPI 1861103814

  LA

  Medicare reassignment Authorized official
• Calcasieu Urgent Care LLC

  • Urgent Care Clinic/Center
  • Lake Charles, LA
  • NPI 1467715490

  LA

  Medicare reassignment NPD
• Southern Solutions Chiropractic, Inc.

  • Chiropractor
  • Leesville, LA
  • NPI 1295299675

  LA

  Medicare reassignment
• Calcasieu Urgent Care, LLC

  • Rural Health Clinic/Center
  • Breaux Bridge, LA
  • NPI 1194482398
  NPD

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

• Hospital Service District No 2 of Parish of Beauregard State of la

  • Rural Acute Care Hospital
  • Deridder, LA
  • NPI 1831193499

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1891267167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19503 LAKE CHARLES HWY",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706342313",
            "telephone_number": "337-918-0422",
            "fax_number": "337-234-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19503 LAKE CHARLES HWY",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706342313",
            "telephone_number": "337-918-0422",
            "fax_number": "337-234-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKS",
        "first_name": "SHANNON",
        "middle_name": "DALE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-26",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "202005",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "F1081710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guillermo Family Medical Clinic, LLC
• Sandra Joy Hamilton, LMT
• Jessamy Hanchey
• Hanger Prosthetics & Orthotics Inc
• Hanks Health and Wellness, LLC
• Malcolm Devereaux Hare Jr., RPH
• Jaime Lyn Harper, M.S.,CCC-SLP
• Amanda Leigh Harrell, F.N.P.-C
• Felicia Harrison, MSW, LMSW
• Laura Haydon

• All providers in Deridder, LA
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.