MRS. SHELITA BANKS (NPI# 1881211803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881211803 |
| Entity Type | Individual |
| Full Name | MRS. SHELITA BANKS |
| Credential | FNP-C |
| Practice Address |
11622 Flamingo Dr Baton Rouge LA 70814-7141 |
| Practice Telephone | 2258925434 |
| Mailing Telephone | 2258925434 |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-06-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
214087 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | NA | 05 |
| Street Address |
11622 FLAMINGO DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70814-7141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114417409 | Dianne Smart Patterson | Case Manager/Care Coordinator | 10821 Cedar Bend Ave, Baton Rouge, LA 70814 | 2018-05-14 |
| 1649794785 | Quiana Gage | Counselor | 3185 Oakcrest Drive, Baton Rouge, LA 70814 | 2017-07-31 |
| 1093166696 | Caring To Love Ministries Inc | Clinic/Center | 3813 North Flannery Rd, Baton Rouge, LA 70814 | 2016-06-24 |
| 1124480439 | Marquiea Anderson | Counselor | 3323 Charlotte Dr., Baton Rouge, LA 70814 | 2016-03-25 |
| 1194196204 | Keyana Deshawn Jackson | Counselor | 4041 Daytona Ave, Baton Rouge, LA 70814 | 2015-10-14 |
| 1013311877 | Tasha Lucien | Registered Nurse | 8508 Greeenwell Springs Rd Apt #27, Baton Rouge, LA 70814 | 2014-10-22 |
| 1245661271 | Freds Stores of Tennessee Inc | Pharmacy | 10710 Greenwell Springs Road, Baton Rouge, LA 70814 | 2013-12-02 |
| 1104057686 | Terri Whitley Jackson | Pharmacist | 11080 Greenwell Springs Rd, Baton Rouge, LA 70814 | 2009-08-02 |
| 1457539025 | Kenny Roy Oswald | Dentist | 3557 Monterrey Drive, Baton Rouge, LA 70814 | 2008-02-06 |
| 1093990806 | Cahronda Kaliquec Johnson | Speech-Language Pathologist | 3837 Sarasota Dr, Baton Rouge, LA 70814 | 2007-12-31 |
| Find all providers in zip 70814 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684923 | On -demand Healthcare of Louisiana LLC | Nurse Practitioner | 12109 Hampton Village Ave, Baton Rouge, LA 70818-5741 | 2020-09-22 |
| 1972116424 | Kiona Brooke Hayes | Nurse Practitioner | 1224 Meridian Dr, Baton Rouge, LA 70820-5316 | 2020-08-25 |
| 1932727286 | Alise Williams | Nurse Practitioner | 3333 Drusilla Ln Ste A, Baton Rouge, LA 70809-2418 | 2020-07-13 |
| 1558985457 | Erika Halphen Forbes | Nurse Practitioner | 8281 Goodwood Blvd Ste D1, Baton Rouge, LA 70806-7742 | 2020-06-05 |
| 1326676792 | Divinity Healthcare Clinic | Nurse Practitioner | 4021 We Heck Ct Ste B1, Baton Rouge, LA 70816-0405 | 2020-03-31 |
| 1477188738 | Kenisha Hampton Manuel | Nurse Practitioner | 4550 North Blvd Ste 100, Baton Rouge, LA 70806-4013 | 2020-03-06 |
| 1073157418 | Lakeva Marie Percy | Nurse Practitioner | 1522 Fig St, Baton Rouge, LA 70802-5028 | 2019-10-29 |
| 1144875162 | The Care Clinic LLC | Nurse Practitioner | 4336 North Blvd Ste 101, Baton Rouge, LA 70806-3920 | 2019-08-06 |
| 1467004127 | Eddricka Fleming Franklin | Nurse Practitioner | 5884 Benson Dr, Baton Rouge, LA 70812-2605 | 2019-07-12 |
| 1891255303 | Diana Boggs | Nurse Practitioner | 500 Rue De La Vie St Ste 400, Baton Rouge, LA 70817-5128 | 2019-03-21 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70814 |
Please comment or provide details below to improve the information on MRS. SHELITA BANKS.
| 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.