Individual provider Active NPI

Shawn Michael Soileau, FNP-C

  • Urgent Care Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1972173649
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
218920 Issued in LA
Practice address
5207 Essen LN Ste 2
Baton Rouge, LA 70809-3565
Phone
(225) 930-8100
NPI assigned
Jun 25, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 218920 LA Primary

Addresses

Primary practice location

5207 Essen LN Ste 2
Baton Rouge, LA 70809-3565

Mailing address

39156 Balmoral Dr
Prairieville, LA 70769-4856
Phone (225) 892-7641

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
I20210730002025 LA Practitioner - Nurse Practitioner 0042613804 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218920LAMDUrgent Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Rapid Urgent Care, Inc Urgent Care CurrentSince Jul 20, 2021 Accepting new patients
Rapid Urgent Care, Inc Urgent Care Current Accepting new patients
Rapid Urgent Care, Inc. Urgent Care CurrentSince Jul 20, 2021 Accepting new patients
Baton Rouge Clinic, a Medical Corporation CurrentSince Sep 15, 2021 Accepting new patients
Rapid Urgent Care, Inc. Urgent Care Current Accepting new patients
Baton Rouge Clinic, a Medical Corporation CurrentSince Sep 15, 2021 Accepting new patients

Locations

5207 Essen Ln
Ste 2
Baton Rouge, LA 70809
Phone (225) 930-8100

7479 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 246-9790

7373 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 246-9790

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600

Interoperability endpoints

  • Direct secure messaging: ssoileau2541598@direct.casso.us.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1972173649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39156 BALMORAL DR",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707694856",
            "telephone_number": "225-892-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5207 ESSEN LN STE 2",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093565",
            "telephone_number": "225-930-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOILEAU",
        "first_name": "SHAWN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "LA",
            "license": "218920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.