SHANE HENRY (NPI# 1285042515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285042515 |
| Entity Type | Individual |
| Full Name | SHANE HENRY |
| Credential | D.C. |
| Practice Address |
826 Focis St Metairie LA 70005-2200 |
| Practice Telephone | 5044568560 |
| Practice Fax Number | 5044568562 |
| Mailing Telephone | 5044568560 |
| Mailing Fax Number | 5044568562 |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2018-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1676 | LA | Chiropractic Providers |
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
1676 | LA | Chiropractic Providers |
| Street Address |
826 FOCIS ST |
| City | METAIRIE |
| State | LA |
| Zip Code | 70005-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871555169 | Ricco V Impastato | Chiropractor | 826 Focis St, Metairie, LA 70005-2200 | 2006-04-04 |
| 1669970794 | Ronald E Brister | Massage Therapist | 826 Focis St, Metairie, LA 70005-2200 | 2018-01-23 |
| 1770971822 | Kayla Martin | Massage Therapist | 826 Focis St, Metairie, LA 70005-2200 | 2014-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548793581 | Amber Alia Trepagnier | Counselor | 701 Papworth Ave Ste 209, Metairie, LA 70005 | 2017-04-06 |
| 1912386640 | Nola, Pride-wfh LLC | Community/Behavioral Health | 700 Phosphor Ave, Suite C, Metairie, LA 70005 | 2015-05-27 |
| 1952731705 | Doctors Dental 06, LLC | Clinic/Center | 730 Veterans Blvd Suite B, Metairie, LA 70005 | 2013-11-14 |
| 1740613827 | Lawrence Garvey Bole | Internal Medicine | 400 Rue St Ann, Unit 214, Metairie, LA 70005 | 2013-08-13 |
| 1295172880 | Shirer Counseling Services | Counselor | 707 Papworth Ave., Ste. 202, Metairie, LA 70005 | 2013-05-23 |
| 1841573599 | Linda Keys | Pharmacist | 1107 Veterans Blvd, Metairie, LA 70005 | 2011-09-20 |
| 1780987909 | Kenneth Mcleod Jr. | Internal Medicine | 351 Elmeer Ave, Metairie, LA 70005 | 2010-12-09 |
| 1972804615 | Courtney Theriot Scala | Counselor | 1312 Aris Ave, Metairie, LA 70005 | 2010-11-11 |
| 1528378031 | Robert Fleming Azar | Ophthalmology | 400 Old Hammond Hwy, Suite 6-a, Metairie, LA 70005 | 2010-10-18 |
| 1881909042 | Fidelity Behavioral Health Services, LLC | Community/Behavioral Health | 700 Papworth Ave, Metairie, LA 70005 | 2010-08-12 |
| Find all providers in zip 70005 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306461488 | Evan Tyler Beatty | Chiropractor | 6601 Veterans Memorial Blvd Ste 33, Metairie, LA 70003-3943 | 2020-06-14 |
| 1053979559 | Chloe Horwood-little | Chiropractor | 3544 W Esplanade Ave S Ste 1, Metairie, LA 70002-7131 | 2019-05-31 |
| 1013498203 | Jeffrey Paul Vitenas | Chiropractor | 2701 Airline Dr Ste E, Metairie, LA 70001-7213 | 2018-08-24 |
| 1235543885 | Doctor's Rehab Services | Chiropractor | 221 Veterans Blvd, Metairie, LA 70005-3005 | 2014-06-11 |
| 1922421445 | Norman Tyree | Chiropractor | 4320 David Dr, Metairie, LA 70003-3427 | 2014-02-04 |
| 1659713915 | Michael Lebourgeois | Chiropractor | 3941 Houma Blvd Ste 2a, Metairie, LA 70006-2920 | 2013-07-26 |
| 1699115501 | Rodney Sones | Chiropractor | 1920 Poplar St, Metairie, LA 70005-1047 | 2013-06-25 |
| 1760728133 | Spine Care of Metairie LLC | Chiropractor | 3017 Veterans Memorial Blvd, Metairie, LA 70002-6046 | 2012-12-12 |
| 1336454990 | Jason Paul Pellegrin | Chiropractor | 714 Phosphor Ave, Metairie, LA 70005-2727 | 2010-08-08 |
| 1730318569 | Peter Tan Bui | Chiropractor | 110 Rosa Ave, Metairie, LA 70005-3414 | 2009-07-14 |
| Find all providers in METAIRIE | ||||
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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.