SHELLIE RICHARDSON (NPI# 1669902136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669902136 |
| Entity Type | Individual |
| Full Name | SHELLIE RICHARDSON |
| Credential | CSFA |
| Practice Address |
8080 Bluebonnet Blvd Baton Rouge LA 70810-7827 |
| Mailing Address |
6505 Audubon Blvd Sorrento LA 70778-3439 |
| Practice Telephone | 2259242424 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
172692 | LA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
8080 BLUEBONNET BLVD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70810-7827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324549 | Lawrence L Braud | Specialist | 8080 Bluebonnet Blvd, Ste 2222, Baton Rouge, LA 70810-7828 | 2005-05-31 |
| 1740821875 | Eleanor Catherine Brandon | Physician Assistant | 8080 Bluebonnet Blvd, Suite 1000, Baton Rouge, LA 70810-7827 | 2019-09-30 |
| 1891254595 | Ryan Delane Jenkins | Nurse Anesthetist, Certified Registered | 8080 Bluebonnet Blvd, Baton Rouge, LA 70810-7827 | 2019-03-13 |
| 1326516121 | Chelsea Leigh Richard | Occupational Therapist | 8080 Bluebonnet Blvd, Baton Rouge, LA 70810-7827 | 2018-11-09 |
| 1497281539 | Steven Kyle Poche | Prevention Professional | 8080 Bluebonnet Blvd, Suite 110, Baton Rouge, LA 70810-7827 | 2017-05-11 |
| 1699208868 | Kallie R Lebourgeois | Audiologist-Hearing Aid Fitter | 8080 Bluebonnet Blvd, Suite 2121, Baton Rouge, LA 70810-7827 | 2017-04-05 |
| 1639616576 | Eva Amanda Dodge | Physician Assistant | 8080 Bluebonnet Blvd, Suite 1000, Baton Rouge, LA 70810-7827 | 2017-01-30 |
| 1164971859 | Surgical Specialty Center of Baton Rouge | Pharmacy | 8080 Bluebonnet Blvd, Baton Rouge, LA 70810-7827 | 2016-09-23 |
| 1790136125 | Maddie Clare Windstein | Physician Assistant | 8080 Bluebonnet Blvd, Suite 1000, Baton Rouge, LA 70810-7827 | 2016-06-27 |
| 1467802603 | Jade Nicole Gautreau | Physician Assistant | 8080 Bluebonnet Blvd, Suite 1000, Baton Rouge, LA 70810-7827 | 2016-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639734973 | Baton Rouge Clinic, A Medical Corporation | Podiatrist | 8160 Ymca Blvd, Suite C, Baton Rouge, LA 70810 | 2019-05-02 |
| 1699278135 | Taylor Denise Debourg | Specialist/Technologist | 8921 Boone Drive, Baton Rouge, LA 70810 | 2018-03-12 |
| 1528583945 | Baton Rouge Perio, L.L.C. | Dentist | 10723 N. Oak Hills Parkway, Bldg. B, Baton Rouge, LA 70810 | 2017-08-07 |
| 1902334931 | Reginald Shaffer | Counselor | 13621 Kenner Ave Apt C, Baton Rouge, LA 70810 | 2017-06-03 |
| 1770010381 | Keona Julien | Case Manager/Care Coordinator | 9270 Siegen Ln Suite 101, Baton Rouge, LA 70810 | 2017-05-12 |
| 1205372893 | Grand Canyon Mobile Dentistry | Dentist | 8480 Bluebonnet Blvd Ste E, Baton Rouge, LA 70810 | 2017-01-06 |
| 1215395173 | Kimberly Booker | Counselor | 9371 Bimini Dr, Baton Rouge, LA 70810 | 2016-02-08 |
| 1710354022 | St Gabriel Health Clinic, Inc | Clinic/Center | 9211 Parkway Dr, Baton Rouge, LA 70810 | 2015-08-24 |
| 1942682430 | Jasmine Alexander | Counselor | 9270 Siegen Ln Bldg 101, Baton Rouge, LA 70810 | 2015-06-22 |
| 1073991535 | James Michael Robinson | Family Medicine | 12525 Perkins Rd Ste A, Baton Rouge, LA 70810 | 2015-05-15 |
| Find all providers in zip 70810 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858509 | Karen Lynn Basham | Specialist/Technologist, Other | 14141 Azalea Park Ave Apt C, Baton Rouge, LA 70816-1674 | 2019-12-16 |
| 1710528427 | Shelby Fabre | Specialist/Technologist, Other | 1442 S Acadian Thruway, Baton Rouge, LA 70808-1182 | 2019-10-03 |
| 1881252484 | Amelia Johnson Gibbs | Specialist/Technologist, Other | 8425 Cumberland Pl, Baton Rouge, LA 70806-6544 | 2019-05-30 |
| 1972945699 | Darlene Nicole Davis | Specialist/Technologist, Other | 8080 Bluebonnet Blvd, Suite 1000, Baton Rouge, LA 70810-7827 | 2013-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245876176 | Bernarda Antonieta Cedano Ramirez | Specialist/Technologist, Other | 4337 Cole Pl, Shreveport, LA 71109-6604 | 2019-11-26 |
| 1962962852 | Sabrina Anne Theriot | Specialist/Technologist, Other | 444 S 5th St, Ponchatoula, LA 70454-2712 | 2019-03-25 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| 1730624495 | Connie Savoy | Specialist/Technologist, Other | 219 Bonnie Rd, Opelousas, LA 70570-0856 | 2017-01-04 |
| 1689119448 | Tavarius Walker | Specialist/Technologist, Other | 4010 Gibson St Apt 8624, New Orleans, LA 70122-1608 | 2017-01-03 |
| 1437516457 | Maria Fernanda Kazibutowski | Specialist/Technologist, Other | 4315 Houma Blvd Ste 304, Metairie, LA 70006-2944 | 2016-01-21 |
| 1629466321 | Joni Dolhonde | Specialist/Technologist, Other | 53493 Highway 433, Slidell, LA 70461-4719 | 2015-01-03 |
| 1740686740 | Gregory Allen Melder | Specialist/Technologist, Other | 2751 Albert L Bicknell Dr Ste 3a, Shreveport, LA 71103-3976 | 2014-11-18 |
| 1770998437 | Amy L Broussard | Specialist/Technologist, Other | 1117 Eighth St, Lake Arthur, LA 70549-3401 | 2014-06-20 |
| 1790100741 | Rachel N Wells | Specialist/Technologist, Other | 103 Carmel Dr, Mandeville, LA 70448-4128 | 2014-02-27 |
| Find all providers with the same taxonomy | ||||
| City | BATON ROUGE |
| Zip Code | 70810 |
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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.