MEDICARE: DISCOVERY HEATHCARE & WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner

General Provider Information

NPI Number	:	1053271163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DISCOVERY HEATHCARE & WELLNESS

Provider Business Mailing Address
First Line	:	600 N MONTAUBAN DR STE 2D
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70507-3256
Country	:	US
Telephone Number	:	318-469-6245
Fax Number	:

Provider Business Practice Location Address
First Line	:	224 SAINT LANDRY ST STE 3A
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70506-3549
Country	:	US
Telephone Number	:	318-469-6245
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SHAVONDALI HARRIS CAWTHORNE
Credential	:	DNP, APRN, FNP-C
Telephone Number	:	318-469-6245

Provider Enumeration Date	:	11/12/2025
Last Update Date	:	03/23/2026

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