Individual provider Active NPI

Nicole W McKee, M.D.

  • Family Medicine Physician
  • Houma, LA
National Provider Identifier
1043279482
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15069R Issued in LA
Practice address
291 Liberty St
Houma, LA 70360-4423
Phone
(985) 868-7882
Fax
(985) 876-1700
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15069R LA Primary

Addresses

Primary practice location

291 Liberty St
Houma, LA 70360-4423

Mailing address

291 Liberty St
Houma, LA 70360-4423
Phone (985) 868-7882

Other identifiers 1

IdentifierTypeStateIssuer
1127957MedicaidLA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070727000264 LA Practitioner - Family Practice 3577661826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Doctor Clinic ApmcGroup PAC ID 4587762976, 4 clinicians

Practice addresses (Care Compare)

291 Liberty St
Houma, LA 70360-4423
Phone (985) 868-7882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15069RLAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Doctor Clinic Apmc Family Medicine CurrentSince Aug 1, 2003 Accepting new patients

Locations

291 Liberty St
Houma, LA 70360
Phone (985) 868-7882

Interoperability endpoints

  • Direct secure messaging: admin@familydoctorclinic.e-mdsdirect.com
  • Direct secure messaging: nmckee407345@direct.ochsner.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Terrebonne General Health System - SNFHouma, LA, CCN 195185 Skilled nursing facility Corporate Officer
Adp of the SNF
Apr 1, 2018
May 9, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1043279482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 LIBERTY ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604423",
            "telephone_number": "985-868-7882",
            "fax_number": "985-876-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 LIBERTY ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604423",
            "telephone_number": "985-868-7882",
            "fax_number": "985-876-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEE",
        "first_name": "NICOLE",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "15069R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1127957",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.