Active NPI
Jessica Turner Stewart, MD
- Pediatrics Physician
- Slidell, LA
National Provider Identifier
1003924978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 026236
- Practice address
- 1346 Lindberg Dr
Suite 7
Slidell, LA 70458 - Phone
- (985) 646-1580
- Fax
- (985) 646-1579
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME98533 | FL | |
| Pediatrics Physician | 208000000X | 026236 | LA | Primary |
Addresses
Primary practice location
1346 Lindberg Dr
Suite 7
Slidell, LA 70458
Mailing address
1950 2ND St Unit 202
Slidell, LA 70458-3206
Phone (985) 640-3717
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA1500 | Other | FL | MEDICARE PTAN |
| 1052302 | Medicaid | LA | |
| 278004600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180727001106 | WI | Practitioner - Pediatric Medicine | 6002826062 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME98533 | FL | MD | Pediatrics Physician |
| 026236 | LA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Pediatric Specialty Care, LLC | Pediatrics | Past | Accepting new patients |
Locations
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Eau Claire, WI
- NPI 1558230847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528934400000",
"number": "1003924978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 2ND ST UNIT 202",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704583206",
"telephone_number": "985-640-3717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1346 LINDBERG DR",
"address_2": "SUITE 7",
"city": "SLIDELL",
"state": "LA",
"postal_code": "70458",
"telephone_number": "985-646-1580",
"fax_number": "985-646-1579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "JESSICA",
"middle_name": "TURNER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2018-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME98533",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "026236",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "AA1500",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1052302",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "278004600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.