MRS. SHELLY SEBASTIEN RICHARD ANPC NPI 1013291350

NPI Information

NPI: 1013291350
Provider Name: MRS. SHELLY SEBASTIEN RICHARD, ANP,C
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
501 W SAINT MARY BLVD STE 200
LAFAYETTE, LA
ZIP 70506
Phone: (337) 470-4500
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MRS. Shelly Sebastien Richard, ANP,C is an adult health nurse practitioner in Lafayette, LA. MRS. Shelly Sebastien Richard, ANP,C NPI is 1013291350. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

501 W SAINT MARY BLVD STE 200
LAFAYETTE, LA
ZIP 70506-665
Phone: (337) 470-4500
Fax: (337) 470-4515

The NPI 1013291350 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/5/2011 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	RN100570-AP06654	LOUISIANA	No
2	363LA2200X	Nurse Practitioner	Adult Health	AP06654	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2170082	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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