Individual provider Active NPI

Betty Bennett, ACNP

  • Acute Care Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1073886222
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN043542 Issued in LA
Practice address
3525 Prytania St
Suite 526
New Orleans, LA 70115-3500
Phone
(504) 648-2541
Fax
(504) 899-7828
NPI assigned
Feb 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN043542 LA Primary

Addresses

Primary practice location

3525 Prytania St
Suite 526
New Orleans, LA 70115-3500

Mailing address

3525 Prytania St
Suite 526
New Orleans, LA 70115-3500
Phone (504) 648-2541

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
I20120507000060 LA Practitioner - Nurse Practitioner 5991967010 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN043542LAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Current Accepting new patients
Signify Health, LLC CurrentSince Apr 1, 2021 Accepting new patients
Ochsner Clinic LLC CurrentSince Apr 19, 2021 Accepting new patients
Jeffcare CurrentSince Jul 30, 2017 Accepting new patients
Mike Mahony, MD, LLC CurrentSince Jan 20, 2019 Accepting new patients
Jeffcare CurrentSince Jul 30, 2017 Accepting new patients
Ochsner Clinic LLC CurrentSince Apr 19, 2021 Accepting new patients

Locations

1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655

3616 S I 10 Service Rd W
Ste 100
Metairie, LA 70001
Phone (504) 838-5215

3616 S I 10 Service Rd W
Ste 200
Metairie, LA 70001
Phone (504) 535-2430

3500 N Causeway Blvd
Ste 1410
Metairie, LA 70002
Phone (504) 833-1442

201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 582-1416

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 7

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": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1073886222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 PRYTANIA ST",
            "address_2": "SUITE 526",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153500",
            "telephone_number": "504-648-2541",
            "fax_number": "504-899-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 PRYTANIA ST",
            "address_2": "SUITE 526",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153500",
            "telephone_number": "504-648-2541",
            "fax_number": "504-899-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "BETTY",
        "name_prefix": "Ms.",
        "credential": "ACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-20",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "LA",
            "license": "RN043542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.