Individual provider Active NPI

Colleen Leo Frady, FNP-C

  • Family Nurse Practitioner
  • Covington, LA
National Provider Identifier
1013548296
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
211473 Issued in LA
Practice address
95 Judge Tanner Blvd
Covington, LA 70433-7500
Phone
(985) 867-8585
NPI assigned
Jan 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 211473 LA Primary

Addresses

Primary practice location

95 Judge Tanner Blvd
Covington, LA 70433-7500

Mailing address

902 Maine Ave
Slidell, LA 70458-3546
Phone (985) 774-9642

Other practice location 1

1415 Tulane Ave # HC -5
New Orleans, LA 70112-2600
Phone (504) 988-5344

Other names 1

  • Colleen Teel Former name

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
I20200727002355 LA Practitioner - Nurse Practitioner 1153745955 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Belle Chasse Physician Services LLCGroup PAC ID 9335379379, 258 clinicians

Practice addresses (Care Compare)

1001 Gause Blvd
Slidell, LA 70458-2939
Phone (985) 643-2200

Hospital & facility affiliations

  • Slidell Memorial Hospital Hospital, Slidell, LA, CCN 190040
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036

Merit-based Incentive Payment System (MIPS)

Final score
90.75 of 100Reported as group
Quality
71.94
Promoting interoperability
100
Improvement activities
40
Cost
63.89

Merit-based Incentive Payment System (MIPS)

Final score
96.3 of 100Reported as group
Quality
85.77
Promoting interoperability
100
Improvement activities
40
Cost
68.58

Merit-based Incentive Payment System (MIPS)

Final score
79.21 of 100Reported as group
Quality
64.85
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gulfsouth Hospital Medicine LLC CurrentSince Jun 1, 2020 Accepting new patients
Gulfsouth Pulmonology, LLC CurrentSince Jun 1, 2020 Accepting new patients
Nni Covington LLC CurrentSince Jun 1, 2020 Accepting new patients
Apogee Medical Group, Louisiana, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Belle Chasse Physician Services LLC Nurse Practitioner CurrentSince Dec 23, 2023 Accepting new patients
SLR Holdings LLC Past Accepting new patients

Locations

1970 N Highway 190
Covington, LA 70433
Phone (985) 400-5988

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

1970 N Highway 190
Ste A
Covington, LA 70433

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

1514 Jefferson Hwy
New Orleans, LA 70121

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1013548296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 MAINE AVE",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583546",
            "telephone_number": "985-774-9642",
            "fax_number": "985-256-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 JUDGE TANNER BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337500",
            "telephone_number": "985-867-8585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 Tulane Ave # HC -5",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701122600",
            "country_code": "US",
            "telephone_number": "504-988-5344",
            "fax_number": "504-988-7510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRADY",
        "first_name": "COLLEEN",
        "middle_name": "LEO",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "211473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "TEEL",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.