Organization Active NPI

Nola Pediatrics

Doing business as Nola's Little Miracles

  • Nursing Care Agency
  • Kenner, LA
National Provider Identifier
1053742882
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
2203781882 Issued in LA
Legal business name
NOLA PEDIATRICS
Doing business as
Nola's Little Miracles
Practice address
2124 Driftwood Blvd
Kenner, LA 70065-3574
Phone
(504) 468-8585
Fax
(504) 468-8584
NPI assigned
Dec 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Ms. Casey M Shook
Title
Director of Nursing
Phone
(504) 468-8585

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 2203781882 LA Primary
Medically Fragile Infants and Children Day Care 261QM3000X

Addresses

Primary practice location

2124 Driftwood Blvd
Kenner, LA 70065-3574

Mailing address

2124 Driftwood Blvd
Kenner, LA 70065-3574
Phone (504) 468-8585

Other identifiers 1

IdentifierTypeStateIssuer
0011183MedicaidLA

Other names 1

  • Nola's Little Miracles Doing business as

National Provider Directory

National Provider Directory

Locations

2124 Driftwood Blvd
Kenner, LA 70065
Phone (504) 468-8585

NPI Registry JSON

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1053742882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 DRIFTWOOD BLVD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653574",
            "telephone_number": "504-468-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 DRIFTWOOD BLVD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653574",
            "telephone_number": "504-468-8585",
            "fax_number": "504-468-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLA PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-04",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "SHOOK",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "504-468-8585",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "LA",
            "license": "2203781882",
            "primary": true
        },
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011183",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nola's Little Miracles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.