SHANE C LANDREAUX (NPI# 1104022011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104022011 |
| Entity Type | Individual |
| Full Name | SHANE C LANDREAUX |
| Practice Address |
1541 Tulane Ave Rm 505 New Orleans LA 70112-2821 |
| Practice Telephone | 8772714597 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
AP04669 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | STATE LICENSE NUMBER | AP04669 | 01 |
| Street Address |
1541 TULANE AVE RM 505 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70112-2821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497737704 | Jane Ann Arcario | Nurse Anesthetist, Certified Registered | 1541 Tulane Ave, New Orleans, LA 70112-2821 | 2005-11-14 |
| 1750564928 | Willie John Joseph IIi | Anesthesiology | 1541 Tulane Ave, New Orleans, LA 70112-2821 | 2007-12-11 |
| 1285844571 | Mary Jo Broussard | Nurse Practitioner | 1541 Tulane Ave, New Orleans, LA 70112-2821 | 2007-05-23 |
| 1346459567 | Deidra Lewis Pierre | Nurse Practitioner | 1541 Tulane Ave, New Orleans, LA 70112-2821 | 2007-05-22 |
| 1659593853 | Coletha Riley | Clinical Nurse Specialist | 1541 Tulane Ave, Rm 505, New Orleans, LA 70112-2821 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867306 | Suayp Oygen | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave., #8545 Suite 7209, New Orleans, LA 70112 | 2020-06-25 |
| 1073132692 | Bianca Ngwe Ndeso Fomukong | Student in an Organized Health Care Education/Training Program | 450a South Claiborne, Room 521, New Orleans, LA 70112 | 2020-04-14 |
| 1184253510 | Arya Mohammad Reza Loghmani | Student in an Organized Health Care Education/Training Program | 1542 Tulane Avenue, Box T4m-2, New Orleans, LA 70112 | 2020-04-07 |
| 1447889365 | Kinnah Menta Hughes | Student in an Organized Health Care Education/Training Program | 1900 Gravier Street, New Orlens, LA 70112 | 2020-04-02 |
| 1396373924 | Carson Mills | Student in an Organized Health Care Education/Training Program | Tulane University School of Medicine, Dept of Surgery, 1430 Tulane Ave., Mail Code 8622, New Orleans, LA 70112 | 2020-03-30 |
| 1417585134 | Pate Duddleston | Student in an Organized Health Care Education/Training Program | 131 S. Robertson St., Ste. 1300 Mail Code 8047, New Orleans, LA 70112 | 2020-03-29 |
| 1467090084 | Camilla Henderson | Technician, Pathology | 1415 Tulane Hospital, New Orleans, LA 70112 | 2019-12-13 |
| 1942850615 | Shannon R. Bierma | Psychologist | 1542 Tulane Ave, Department of Psychiatry, New Orleans, LA 70112 | 2019-09-16 |
| 1326608035 | Julia Obehi Aigbogun | Student in an Organized Health Care Education/Training Program | Tulane Hospital and Clinics 1415 Tulane Avenue, New Orleans, LA 70112 | 2019-06-14 |
| 1477016970 | Nicole Marie Crozat | Student in an Organized Health Care Education/Training Program | Dept of Psych, 1542 Tulane Avenue, New Orleans, LA 70112 | 2019-04-11 |
| Find all providers in zip 70112 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346916 | Lavonna Parham | Nurse Practitioner | 2700 Napoleon Ave, New Orleans, LA 70115-6914 | 2020-05-04 |
| 1558869925 | Shelley Maureen Clapp | Nurse Practitioner | 1401 Foucher St, Nicu, New Orleans, LA 70115 | 2018-01-31 |
| 1740705425 | Melinda Orellana | Nurse Practitioner | 2700 Napoleon Ave, New Orleans, LA 70115-6914 | 2017-08-03 |
| 1407386691 | Maria Blanchard Brady | Nurse Practitioner | 2700 Napoleon Ave, New Orleans, LA 70115-6914 | 2017-06-19 |
| 1568991420 | Valerie Marie Anderson | Nurse Practitioner | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2017-06-05 |
| 1740718774 | Shane Glass | Nurse Practitioner | 2700 Napoleon Ave, New Orleans, LA 70115-6914 | 2017-06-03 |
| 1750818191 | Kristine Strecker | Nurse Practitioner | 2700 Napoleon Ave, New Orleans, LA 70115-6914 | 2017-05-16 |
| 1003269515 | Emily P Landry | Nurse Practitioner | 2700 Napoleon Ave, New Orleans, LA 70115-6914 | 2016-07-20 |
| 1871952457 | Emily Kathleen Turner | Nurse Practitioner | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2016-02-11 |
| 1689910705 | Monique Andree Cerise | Nurse Practitioner | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2012-12-17 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70112 |
Please comment or provide details below to improve the information on SHANE C LANDREAUX.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.