Provider Demographics
NPI:1700347531
Name:BATISTE, SHANTEL (NP)
Entity Type:Individual
Prefix:
First Name:SHANTEL
Middle Name:
Last Name:BATISTE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 GAUSE BLVD STE C4
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-3041
Mailing Address - Country:US
Mailing Address - Phone:985-288-6419
Mailing Address - Fax:877-889-8818
Practice Address - Street 1:1300 GAUSE BLVD STE C4
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-3041
Practice Address - Country:US
Practice Address - Phone:985-288-6419
Practice Address - Fax:877-889-8818
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-26
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA204207207QH0002X, 207R00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine