Individual provider Active NPI

Shannon Baudouin, FNP

  • Family Nurse Practitioner
  • River Ridge, LA
National Provider Identifier
1972053197
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08943 Issued in LA
Practice address
9605 Jefferson Hwy
River Ridge, LA 70123-2550
Phone
(504) 739-9494
Fax
(504) 739-9495
NPI assigned
Oct 12, 2016
Last updated
Nov 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP08943 LA Primary

Addresses

Primary practice location

9605 Jefferson Hwy
River Ridge, LA 70123-2550

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170323001797 LA Practitioner - Nurse Practitioner 2860777323 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

9605 Jefferson Hwy
River Ridge, LA 70123-2550
Phone (504) 738-1604

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP08943LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Nov 15, 2021 Accepting new patients
Doctors After Hours LLC CurrentSince Jan 22, 2017 Accepting new patients
Doctors After Hours Urgent Care & Walk in Clinic - Lakeview L.L.C. CurrentSince Jan 22, 2017 Accepting new patients
Ochsner Clinic LLC CurrentSince Nov 15, 2021 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Doctors After Hours Urgent Care & Walk in Clinic Clearview LLC CurrentSince Jan 22, 2017 Accepting new patients
Ochsner Clinic LLC Past Accepting new patients
Ochsner Clinic LLC Past Accepting new patients

Locations

1111 Greengate Dr
Ste B
Covington, LA 70433
Phone (985) 246-2420

27342 Juban Rd
Ste 102
Denham Springs, LA 70726
Phone (225) 388-6130

5922 W Main St
Ste A
Houma, LA 70360
Phone (985) 262-8015

3417 Williams Blvd
Kenner, LA 70065
Phone (504) 461-9660

12895 Highway 90
Ste H
Luling, LA 70070
Phone (985) 331-9400

1849 Barataria Blvd
Ste B
Marrero, LA 70072
Phone (504) 309-5015

1000 Clearview Pkwy
Metairie, LA 70001
Phone (504) 455-4433

2215 Veterans Memorial Blvd
Metairie, LA 70002
Phone (504) 838-3524

101 W Robert E Lee Blvd
New Orleans, LA 70124
Phone (504) 282-2203

101 W Robert E Lee Blvd
Ste 100
New Orleans, LA 70124
Phone (504) 288-3456

111 Allen Toussaint Blvd
Ste C
New Orleans, LA 70124
Phone (504) 286-2001

1514 Jefferson Hwy
New Orleans, LA 70121

4100 Canal St
New Orleans, LA 70119
Phone (504) 218-4853

4605 Magazine St
New Orleans, LA 70115
Phone (504) 883-8111

900 Magazine St
New Orleans, LA 70130
Phone (504) 309-0534

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

9605 Jefferson Hwy
River Ridge, LA 70123
Phone (504) 738-1604

9605 Jefferson Hwy
Ste G
River Ridge, LA 70123
Phone (337) 853-0999

318 N Canal Blvd
Thibodaux, LA 70301
Phone (985) 446-3276

Organizations & group practices 8

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 1

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": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1972053197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9605 JEFFERSON HWY",
            "city": "RIVER RIDGE",
            "state": "LA",
            "postal_code": "701232550",
            "telephone_number": "504-739-9494",
            "fax_number": "504-739-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUDOUIN",
        "first_name": "SHANNON",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-12",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Ridge, LA

Sources for this page

Verify at the official NPI Registry.