Active NPI
Shanika Bogan
- Contractor
- Shreveport, LA
National Provider Identifier
1912819327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 005731391
- Practice address
- 8809 Bayonne Dr
Shreveport, LA 71118-2001 - Phone
- (318) 675-9987
- NPI assigned
- Sep 21, 2026
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 005731391 | LA | Primary |
Addresses
Primary practice location
8809 Bayonne Dr
Shreveport, LA 71118-2001
Mailing address
8809 Bayonne Dr
Shreveport, LA 71118-2001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789948800000",
"number": "1912819327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8809 BAYONNE DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711182001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8809 BAYONNE DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711182001",
"telephone_number": "318-675-9987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGAN",
"first_name": "SHANIKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-21",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "LA",
"license": "005731391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.