MEDICARE: SHALESTRIA HOPKINS

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1518763762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHALESTRIA HOPKINS

Provider Business Mailing Address
First Line	:	315 AMESBURY DR APT 129
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70507-3500
Country	:	US
Telephone Number	:	337-442-7242
Fax Number	:

Provider Business Practice Location Address
First Line	:	315 AMESBURY DR APT 129
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70507-3500
Country	:	US
Telephone Number	:	337-442-7242
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2025
Last Update Date	:	02/19/2025

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Directions to “ SHALESTRIA HOPKINS ” Practice Location

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