Individual provider Active NPI

Anne Borne Colwart, ANP-C

  • Adult Health Nurse Practitioner
  • Destrehan, LA
National Provider Identifier
1013242825
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP05955 Issued in LA
Practice address
159 Longview Dr Ste C
Destrehan, LA 70047-5076
Phone
(985) 764-7669
NPI assigned
Oct 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP05955 LA Primary

Addresses

Primary practice location

159 Longview Dr Ste C
Destrehan, LA 70047-5076

Mailing address

1117 Highway 20
Thibodaux, LA 70301-6240
Phone (985) 633-3150

Other identifiers 2

IdentifierTypeStateIssuer
02009040MedicaidMS
2379569MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100119000740 LA Practitioner - Nurse Practitioner 0345382099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

104 Acadia Park Dr
Raceland, LA 70394-2618
Phone (985) 537-3211

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP05955LAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Nov 1, 2014 Accepting new patients
Ochsner Clinic LLC CurrentSince Nov 1, 2014 Accepting new patients
Ochsner Pharmacy and Wellness, LLC Past Accepting new patients

Locations

13100 River Rd
Ste 120
Destrehan, LA 70047
Phone (985) 764-7669

13100 River Rd
Destrehan, LA 70047
Phone (504) 701-3652

159 Longview Dr
Ste C
Destrehan, LA 70047
Phone (985) 652-9504

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1013242825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 HIGHWAY 20",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703016240",
            "telephone_number": "985-633-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 LONGVIEW DR STE C",
            "city": "DESTREHAN",
            "state": "LA",
            "postal_code": "700475076",
            "telephone_number": "985-764-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLWART",
        "first_name": "ANNE",
        "middle_name": "BORNE",
        "name_prefix": "Ms.",
        "credential": "ANP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-12",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "AP05955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02009040",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2379569",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Destrehan, LA

Sources for this page

Verify at the official NPI Registry.