Active NPI
Jessica T Carlson, NP
- Adult Health Nurse Practitioner
- Covington, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP06955
- Practice address
- 19343 Sunshine Ave
Covington, LA 70433-8834 - Phone
- (985) 892-5125
- Fax
- (985) 892-5128
- NPI assigned
- Oct 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP06955 | LA | Primary |
Addresses
Primary practice location
19343 Sunshine Ave
Covington, LA 70433-8834
Mailing address
19343 Sunshine Ave
Covington, LA 70433-8834
Phone (985) 892-5125
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3001 22ND St
Metairie, LA 70002-4918
Phone (769) 243-6141
4633 Wichers Dr
Marrero, LA 70072-3096
Phone (504) 347-5421
Hospital & facility affiliations
- Slidell Memorial Hospital
- St Tammany Parish Hospital
- Avala
- East Jefferson General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Plus Limited Liability Company | Nurse Practitioner | Current | Accepting new patients |
| Wound Management Specialists, LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
3001 22nd St
Metairie, LA 70002
Phone (504) 949-0450
778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620
Interoperability endpoints
- jessica.carlson.1@1179.direct.athenahealth.com
- jessica.carlson.1@2046.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Metairie, LA
- NPI 1871919936
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Covington, LA
- NPI 1851487086
-
- General Acute Care Hospital
- Slidell, LA
- NPI 1578568481
-
- Internal Medicine Physician
- Covington, LA
- NPI 1083793582
Hospital
-
- Pulmonary Disease Physician
- Covington, LA
- NPI 1285285874
Hospital
-
- General Acute Care Hospital
- Covington, LA
- NPI 1598798597
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
-
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
-
- Psychiatric Hospital Unit
- Covington, LA
- NPI 1790722825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352160000000",
"number": "1043563638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19343 SUNSHINE AVE",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704338834",
"telephone_number": "985-892-5125",
"fax_number": "985-892-5128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19343 SUNSHINE AVE",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704338834",
"telephone_number": "985-892-5125",
"fax_number": "985-892-5128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "JESSICA",
"middle_name": "T",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-19",
"last_updated": "2012-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "LA",
"license": "AP06955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.