Individual provider Active NPI

Elsa Elizabeth Treadway-Hahn, NP

  • Family Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1093064834
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07014 Issued in LA
Practice address
1430 Tulane Ave # 8031
New Orleans, LA 70112-2632
Phone
(504) 988-5433
Fax
(504) 988-3508
NPI assigned
Sep 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN103357 LA
Family Nurse Practitioner 363LF0000X AP07014 LA Primary

Addresses

Primary practice location

1430 Tulane Ave # 8031
New Orleans, LA 70112-2632

Mailing address

915 Nelson St
Mandeville, LA 70448-6518
Phone (504) 669-8889

Other identifiers 2

IdentifierTypeStateIssuer
2314980MedicaidLA
07173586MedicaidMS

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
I20121024000672 LA Practitioner - Nurse Practitioner 2567612765 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP07014LAMDFamily Nurse Practitioner
RN103357LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Aug 2, 2022 Accepting new patients
Childrens Hospital Medical Practice Corporation Nurse Practitioner CurrentSince Jul 7, 2024 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jan 5, 2022 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jan 5, 2022 Accepting new patients
St Tammany Parish Hospital Service District No 1 CurrentSince Apr 1, 2020 Accepting new patients
St. Tammany Parish Hospital Service District No 1 CurrentSince Apr 1, 2020 Accepting new patients

Locations

1208 Wisteria St
Alexandria, LA 71301
Phone (318) 484-4801

1208 Wisteria St
#4
Alexandria, LA 71301
Phone (318) 484-4801

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

71211 Highway 21
Ste B
Covington, LA 70433
Phone (985) 893-9922

141 Ormond Center Ct
Destrehan, LA 70047
Phone (985) 764-7337

4720 S I 10 Service Rd W
Ste 401
Metairie, LA 70001
Phone (504) 780-6500

3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

2000 Canal St
Fl Fifth
New Orleans, LA 70112

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1430 Tulane Ave
#8031
New Orleans, LA 70112
Phone (504) 988-5433

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

Organizations & group practices 6

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": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1093064834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 NELSON ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704486518",
            "telephone_number": "504-669-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE # 8031",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-5433",
            "fax_number": "504-988-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREADWAY-HAHN",
        "first_name": "ELSA",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-07",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN103357",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2314980",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07173586",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.