SHANTEAU SYLVESTER (NPI# 1568088417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568088417 |
Entity Type | Individual |
Full Name | SHANTEAU SYLVESTER |
Practice Address |
100 Handy Hill Rd Mer Rouge LA 71261-6900 |
Practice Telephone | 3183726927 |
Mailing Telephone | 3183726927 |
Enumeration Date | 2020-06-16 |
Last Update Date | 2020-06-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | 2169842001400 | LA | Other Service Providers |
N | 332B00000X | Durable Medical Equipment & Medical Supplies | 2169842001400 | LA | Suppliers |
N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
2169842001400 | LA | Suppliers |
Y | 335E00000X | Prosthetic/Orthotic Supplier | 2169842001400 | LA | Suppliers |
Street Address |
100 HANDY HILL RD |
City | MER ROUGE |
State | LA |
Zip Code | 71261-6900 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811513765 | Beautiful Grace, LLC | Clinic/Center | 100 Handy Hill Rd, Mer Rouge, LA 71261-6900 | 2020-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174916837 | Allen L, Spires Md A Medical Corporation | Clinic/Center | 301 1/2 W. Davenport, Mer Rouge, LA 71261 | 2015-03-05 |
1235468349 | Morehouse Community Medical Centers, Inc. | Nurse Practitioner | 108 N. 16th St., Mer Rouge, LA 71261 | 2009-12-18 |
1811171085 | Sterlington Critical Access Hospital, L.L.C. | Clinic/Center | 205 Davenport Street, Mer Rouge, LA 71261 | 2007-12-24 |
1730382961 | Daniel Wood Pt Inc | Specialist | 105 Dave L Pearce, Oak Grove, LA 71261 | 2007-06-06 |
1730209164 | Kathy E Denman | Pharmacy Technician | 204 Davenport Ave., Mer Rouge, LA 71261 | 2007-03-30 |
1346360013 | Family Medical Clinic of Mer Rouge | Family Medicine | 205 South Davenport Ave, Mer Rouge, LA 71261 | 2007-03-29 |
1730203332 | Village Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 308 Davenport Ave, Mer Rouge, LA 71261 | 2007-03-19 |
1689709040 | Allen L.spires, Md, Apmc | Clinic/Center | 301 Davenport Ave, Mer Rouge, LA 71261 | 2007-02-23 |
1548301237 | Robert B Robinson Apdc | Dentist | 220 Davenport Ave, Mer Rouge, LA 71261 | 2007-02-08 |
1306986039 | Robert B Robinson | Dentist | 220 Davenport Ave., Mer Rouge, LA 71261 | 2007-02-08 |
Find all providers in zip 71261 |
Taxonomy Code | 335E00000X |
Grouping | Suppliers |
Classification | Prosthetic/Orthotic Supplier |
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558970418 | B'obsessed Hair Collection | Prosthetic/Orthotic Supplier | 3009 Ray Weiland Dr, Baker, LA 70714-3251 | 2020-07-27 |
1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
1831710060 | The Monte' Garcia Salon | Prosthetic/Orthotic Supplier | 10732 S Mall Dr Apt 423, Baton Rouge, LA 70809-4814 | 2020-04-28 |
1033746961 | Orthotic & Prosthetic Solutions LLC | Prosthetic/Orthotic Supplier | 11616 Southfork Ave Ste 202, Baton Rouge, LA 70816-5241 | 2020-03-23 |
1154953321 | One Source Inc. | Prosthetic/Orthotic Supplier | 1346 Lindberg Dr Ste 8, Slidell, LA 70458-8081 | 2020-02-06 |
1255975421 | Orthotic & Prosthetic Specialists, Inc. | Prosthetic/Orthotic Supplier | 10241 Coursey Blvd Ste C, Baton Rouge, LA 70816-0409 | 2019-10-31 |
1356908180 | Louisiana Prosthetics, LLC | Prosthetic/Orthotic Supplier | 4451 Bluebonnet Blvd Ste C, Baton Rouge, LA 70809-9647 | 2019-05-28 |
1295298321 | Swamp Elite Retreat Inc | Prosthetic/Orthotic Supplier | 46424 Rufus Bankston Rd, Hammond, LA 70401-6108 | 2019-04-06 |
1780142836 | Jaubert Prosthetics, LLC | Prosthetic/Orthotic Supplier | 1625 Ryan St Ste C, Lake Charles, LA 70601-5965 | 2019-03-07 |
1225501752 | Adaptive Prosthetics and Orthotics LLC | Prosthetic/Orthotic Supplier | 1208 Louise St, Thibodaux, LA 70301-4257 | 2019-01-08 |
Find all providers with the same taxonomy |
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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.