Organization Active NPI

MHSD

  • Health Maintenance Organization
  • New Orleans, LA
National Provider Identifier
1033474655
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
30 Issued in LA
Legal business name
MHSD
Practice address
3710 Rue Delphine
New Orleans, LA 70131-7241
Phone
(504) 361-6092
Fax
(504) 361-6256
NPI assigned
Jul 10, 2012
Last updated
Jul 10, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
DHH/OBSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Authorized official

Name
Mrs. Vanessa Marie Wilson, RN
Title
Clinical Nurse
Phone
(504) 361-6092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 30 LA Primary

Addresses

Primary practice location

3710 Rue Delphine
New Orleans, LA 70131-7241

Mailing address

4222 Gen. Meyer Ave.
Ste. 100
N.O., LA 70131
Phone (504) 361-6092

Other identifiers 1

IdentifierTypeStateIssuer
30OtherLAMANAGED CARE ORGANIZATION

Other names 1

  • CABHS-WESTBANK CLINIC Other name

National Provider Directory

National Provider Directory
Part of
Florida Parishes Human Services Authority Fontainebleau TX Center

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1033474655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 GEN. MEYER AVE.",
            "address_2": "STE. 100",
            "city": "N.O.",
            "state": "LA",
            "postal_code": "70131",
            "telephone_number": "504-361-6092",
            "fax_number": "504-361-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 RUE DELPHINE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701317241",
            "telephone_number": "504-361-6092",
            "fax_number": "504-361-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MHSD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DHH/OBS",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL NURSE",
        "authorized_official_telephone_number": "504-361-6092",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "LA",
            "license": "30",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED CARE ORGANIZATION",
            "identifier": "30",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CABHS-WESTBANK CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.