Active NPI
Hailey Entremont, N.P.
- Family Nurse Practitioner
- Lutcher, LA
National Provider Identifier
1104120138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP06251
- Practice address
- 1935 Lutcher Ave Ste B
Lutcher, LA 70071-5407 - Phone
- (225) 258-1800
- Fax
- (776) 848-0228
- NPI assigned
- Jan 5, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Rejuvenate Health
Practice addresses (Care Compare)
1935 Lutcher Ave
Suite B
Lutcher, LA 70071-5432
Phone (225) 535-2198
Hospital & facility affiliations
- St James Parish Hospital
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110126001040 | LA | Practitioner - Nurse Practitioner | 6103005863 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rejuvenate Health | Current | Accepting new patients |
Locations
1935 Lutcher Ave
Ste B
Lutcher, LA 70071
Phone (225) 258-1800
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP06251 | LA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1935 Lutcher Ave Ste B
Lutcher, LA 70071-5407
Mailing address
1935 Lutcher Ave Ste B
Lutcher, LA 70071-5407
Phone (225) 258-1800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 9, 2024.
{
"created_epoch": "1294185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707436800000",
"number": "1104120138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 LUTCHER AVE STE B",
"city": "LUTCHER",
"state": "LA",
"postal_code": "700715407",
"telephone_number": "225-258-1800",
"fax_number": "877-684-8022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1935 LUTCHER AVE STE B",
"city": "LUTCHER",
"state": "LA",
"postal_code": "700715407",
"telephone_number": "225-258-1800",
"fax_number": "776-848-0228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENTREMONT",
"first_name": "HAILEY",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-05",
"last_updated": "2024-02-09",
"certification_date": "2024-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP06251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lutcher, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.