Individual provider Active NPI

Rajah Fielder, FNP

  • Family Nurse Practitioner
  • Carencro, LA
National Provider Identifier
1033577838
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08677 Issued in LA
Practice address
503 N Church St
Carencro, LA 70520-3119
Phone
(337) 886-1200
NPI assigned
Feb 8, 2016
Last updated
Apr 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 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 AP08677 LA Primary

Addresses

Primary practice location

503 N Church St
Carencro, LA 70520-3119

Mailing address

503 N Church St
Carencro, LA 70520-3119
Phone (337) 886-1200

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
I20160624000160 LA Practitioner - Nurse Practitioner 9537450440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

503 N Church St
Carencro, LA 70520-3119
Phone (337) 886-1200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP08677LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fielder Family Clinic LLC Family CurrentSince Feb 14, 2017 Accepting new patients
Dr Michael Kennedy Family Practice PastSince Dec 18, 2006 Accepting new patients
Relief Plus Clinic LLC Past Accepting new patients

Locations

111 Saint Charles St
Carencro, LA 70520
Phone (337) 886-1200

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": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1033577838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 N CHURCH ST",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705203119",
            "telephone_number": "337-886-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N CHURCH ST",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705203119",
            "telephone_number": "337-886-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDER",
        "first_name": "RAJAH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carencro, LA

Sources for this page

Verify at the official NPI Registry.