Individual provider Active NPI

Sandra Phelps, PA-C

  • Physician Assistant
  • Kenner, LA
National Provider Identifier
1013391424
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
324100 Issued in LA
Practice address
4232 Williams Blvd Ste 108
Kenner, LA 70065-2271
Phone
(504) 405-5582
Fax
(504) 405-5558
NPI assigned
Jul 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 324100 LA Primary

Addresses

Primary practice location

4232 Williams Blvd Ste 108
Kenner, LA 70065-2271

Mailing address

4232 Williams Blvd Ste 108
Kenner, LA 70065-2271

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
I20201123000443 LA Practitioner - Physician Assistant 6507277621 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jandh Cheema LLCGroup PAC ID 9032415476, 2 clinicians

Practice addresses (Care Compare)

2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000

32 N 2ND St
St Helena Parish Nursing Home
Greensburg, LA 70441-5218
Phone (225) 222-4102

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Center Management Corporation CurrentSince Oct 1, 2025 Accepting new patients
University Medical Center Management Corporation Physician Assistant CurrentSince Oct 1, 2025 Accepting new patients
Vicksburg Surgical Associates, PA PastSince Feb 28, 2009 Accepting new patients
J&H Cheema LLC Past Accepting new patients

Locations

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

Organizations & group practices 6

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 1

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": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1013391424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4232 WILLIAMS BLVD STE 108",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4232 WILLIAMS BLVD STE 108",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652271",
            "telephone_number": "504-405-5582",
            "fax_number": "504-405-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "SANDRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "324100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

Verify at the official NPI Registry.