Individual provider Active NPI

Nikita Pearl

  • Family Nurse Practitioner
  • Kentwood, LA
National Provider Identifier
1093107310
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07896 Issued in LA
Practice address
721 Avenue G
Kentwood, LA 70444-2601
Phone
(888) 414-7247
NPI assigned
Feb 24, 2015
Last updated
Feb 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP07896 LA Primary

Addresses

Primary practice location

721 Avenue G
Kentwood, LA 70444-2601

Mailing address

PO Box 770
Zachary, LA 70791-0770
Phone (888) 414-7247

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
I20150630000424 LA Practitioner - Nurse Practitioner 4981916210 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WCS Professional Services of Louisiana LLCGroup PAC ID 7719124080, 22 clinicians

Practice addresses (Care Compare)

3445 N Causeway Blvd
Suite 600
Metairie, LA 70002-3762
Phone (504) 609-3282

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP07896LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Restorixhealth at-Home, LLC Nurse Practitioner CurrentSince Aug 28, 2023 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Oct 1, 2021 Accepting new patients
WCS Professional Services of Louisiana, LLC Nurse Practitioner CurrentSince Aug 23, 2023 Accepting new patients

Locations (25 of 27)

10145 Florida Blvd
Baton Rouge, LA 70815
Phone (225) 272-0111

10748 Joor Rd
Baton Rouge, LA 70818
Phone (225) 344-3551

11188 Florida Blvd
Baton Rouge, LA 70815
Phone (225) 275-7570

14686 Old Hammond Hwy
Baton Rouge, LA 70816
Phone (225) 272-9339

1642 N Flannery Rd
Baton Rouge, LA 70815
Phone (225) 275-6393

2828 Westfork Dr
Baton Rouge, LA 70816
Phone (225) 291-7049

3888 North Blvd
Baton Rouge, LA 70806
Phone (225) 334-3551

26739 LA Highway 1032
Denham Springs, LA 70726
Phone (225) 665-5544

9171 Cockerham Rd
Denham Springs, LA 70726
Phone (225) 523-5136

301 Memorial Dr
Donaldsonvlle, LA 70346
Phone (225) 473-7931

800 S Oak St
Hammond, LA 70403
Phone (504) 615-6419

620 E College St
Homer, LA 71040
Phone (318) 927-2024

8166 Main St
Houma, LA 70360
Phone (800) 456-9121

716 Village Rd
Kenner, LA 70065
Phone (504) 464-0604

1005 Eraste Landry Rd
Lafayette, LA 70506
Phone (337) 232-6370

3017 N Causeway Blvd
Ste 203
Metairie, LA 70002
Phone (504) 833-9994

3445 N Causeway Blvd
Ste 600
Metairie, LA 70002
Phone (504) 835-4919

4312 Ithaca St
Metairie, LA 70006
Phone (504) 887-6414

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

2200 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 834-3144

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

3701 Behrman Pl
New Orleans, LA 70114
Phone (504) 367-5640

1820 False River Dr
New Roads, LA 70760
Phone (225) 638-4431

400 Hospital Rd
New Roads, LA 70760
Phone (225) 638-4404

405 Folse St
River Ridge, LA 70123
Phone (225) 738-7676

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1093107310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707910770",
            "telephone_number": "888-414-7247",
            "fax_number": "225-658-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 AVENUE G",
            "city": "KENTWOOD",
            "state": "LA",
            "postal_code": "704442601",
            "telephone_number": "888-414-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARL",
        "first_name": "NIKITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentwood, LA

Sources for this page

Verify at the official NPI Registry.