Healthcare Provider Details

I. General information

NPI: 1700347531
Provider Name (Legal Business Name): SHANTEL R BATISTE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2019
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 GAUSE BLVD STE C4
SLIDELL LA
70458-3041
US

IV. Provider business mailing address

6101 BLUE LAGOON DR STE 200
MIAMI FL
33126-3168
US

V. Phone/Fax

Practice location:
  • Phone: 985-288-6419
  • Fax: 877-889-8818
Mailing address:
  • Phone: 985-288-6419
  • Fax: 877-889-8818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number204207
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number204207
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number204207
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: