Marjorie Shanks, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

303153 Issued in LA

Practice address

3704 North Blvd
Alexandria, LA 71301-3658

Phone

(318) 443-4576

NPI assigned

Aug 31, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hulin Urgent Care Services LLCGroup PAC ID 6800051285, 135 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations (25 of 28)

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.

• Hulin Urgent Care Services LLC

  • Urgent Care Clinic/Center
  • New Iberia, LA
  • NPI 1699049262
  Medicare reassignment Care Compare group NPD
• Acs Primary Care Physicians Louisiana PC

  • Emergency Medicine Physician
  • Alexandria, LA
  • NPI 1306889092
  Medicare reassignment
• Alexandria Gastrointestinal Specialists, LLC

  • Gastroenterology Physician
  • Alexandria, LA
  • NPI 1902136328
  Medicare reassignment
• Shawn McCann MD, LLC

  • Family Medicine Physician
  • Marksville, LA
  • NPI 1609964881
  Medicare reassignment
• Hulin Urgent Care Services LLC

  • Urgent Care Clinic/Center
  • Rayne, LA
  • NPI 1750055141
  NPD
• Diana L. Corley, FNP, LLC

  • Primary Care Clinic/Center
  • Centerpoint, LA
  • NPI 1124659164
  NPD (past)

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1952857807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 NORTH BLVD",
            "address_2": "SUITE C",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013658",
            "telephone_number": "318-443-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 NORTH BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013658",
            "telephone_number": "318-443-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKS",
        "first_name": "MARJORIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "303153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahid Mansoor MD, Apmc
• Shahid Mansoor, M.D. a Professional Medical Corporation
• Farhan Shahid
• Deidre Shakur
• Brianna L Shamblin, FNP-C
• Shannondale of Alexandria, Inc.
• Share Care USA
• Share Care USA
• Share Care USA
• Share Care USA

• Physician Assistant in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.