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SHANE BLACKA
NPI 1437998663
Student in an Organized Health Care Education/Training Program in Jefferson, LA

Active since May 20, 2024PECOS Enrolled
1514 JEFFERSON HWY, JEFFERSON, LA 70121(504) 842-3000 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shane Blacka NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE BLACKA (NPI 1437998663) is an individual student in an organized health care education/training program in Jefferson, Louisiana and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437998663
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHANE BLACKA
Location Address1514 JEFFERSON HWYJefferson, LA 70121-2429
Mailing Address1514 Jefferson HwyJefferson, LA 70121-2429
Phone(504) 842-3000
Sole ProprietorNo
Enumeration DateMay 20, 2024
NPPES CertifiedMay 19, 2024
✔ NPI 1437998663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1514 JEFFERSON HWY, Jefferson, LA 70121
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shane Blacka is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WALTER JORDAN HOYT JR. M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Jefferson Parish (504) 842-3900
DANIELLE M PICKHAM M.D.
Surgery
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Jefferson Parish (504) 842-3000
TAMMY ANN FRANCIPANE RNC CNNP
Nurse Practitioner (Pediatrics, Critical Care)
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Jefferson Parish (504) 842-4000
LINGLING DU M.D.
Internal Medicine (Hematology & Oncology)
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Jefferson Parish (504) 842-4000
DR. BRIAN THOMAS HALBERT M.D.
Internal Medicine (Hematology & Oncology)
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Jefferson Parish (504) 842-3910
ADRIENNE A. TRUXILLO NP
Nurse Practitioner (Pediatrics)
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Jefferson Parish (504) 842-3900
WENDY LYNN CAMBRE CRNA
Nurse Anesthetist, Certified Registered
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Jefferson Parish (504) 842-3755
AIMEE ELISE HILTBOLD M.D.
Internal Medicine (Cardiovascular Disease)
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Jefferson Parish (504) 842-4145

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Blacka's NPI number?

The NPI number for Shane Blacka is 1437998663. It was assigned to this individual provider in the NPPES registry on May 20, 2024.

Where is Shane Blacka located?

Shane Blacka practices at 1514 Jefferson Hwy, Jefferson, LA 70121. The listed phone number is (504) 842-3000.

What is Shane Blacka's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shane Blacka enrolled in Medicare?

Yes. Shane Blacka is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shane Blacka was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.