Shantay Ealy, is a
Licensed Practical Nurse based in Geismar, Louisiana. Shantay Ealy is licensed to practice in Louisiana (license number 220504) and her current practice location is
35727 River Oaks Rd., Geismar, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(225) 454-7956.
NPI number for Shantay Ealy is 1114321296 and her current mailing address is Po Box 465, Geismar, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114321296.
Provider's Profile
Full Name | Shantay Ealy |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 35727 River Oaks Rd., Geismar, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114321296
- Provider Enumeration Date: 10/17/2014
- Last Update Date: 10/17/2014
Medical Identifiers
Medical identifiers for Shantay Ealy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114321296 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 220504 (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shantay Ealy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shantay Ealy, Po Box 465, Geismar, LA 70734-0465 Ph: (225) 454-7956 | Shantay Ealy, 35727 River Oaks Rd., Geismar, LA 70734-0465 Ph: (225) 454-7956 |
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