Individual provider Active NPI

Jessica T Carlson, NP

  • Adult Health Nurse Practitioner
  • Covington, LA
National Provider Identifier
1043563638
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP06955 Issued in LA
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

Updated by the provider on Nov 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130213000389 LA Practitioner - Nurse Practitioner 9335393651 Reassigns benefits to 3 organizations

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
Healthcare Plus Limited Liability CompanyGroup PAC ID 5698038610, 120 clinicians
LMG LLCGroup PAC ID 7719109628, 6 clinicians

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 Hospital, Slidell, LA, CCN 190040
  • St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045
  • Avala Hospital, Covington, LA, CCN 190267
  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Plus Limited Liability Company Nurse Practitioner CurrentSince Apr 15, 2025 Accepting new patients
Wound Management Specialists, LLC Nurse Practitioner CurrentSince Apr 15, 2025 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

  • Direct secure messaging: jessica.carlson.1@1179.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 9

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": "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

Verify at the official NPI Registry.