Individual provider Active NPI

Hailey Entremont, N.P.

  • Family Nurse Practitioner
  • Lutcher, LA
National Provider Identifier
1104120138
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP06251 Issued in LA
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 3 clinicians

Practice addresses (Care Compare)

1935 Lutcher Ave
Suite B
Lutcher, LA 70071-5432
Phone (225) 535-2198

Hospital & facility affiliations

  • St James Parish Hospital Hospital, Lutcher, LA, CCN 191305

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
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

OrganizationSpecialtyStatusNew patients
Rejuvenate Health CurrentSince Jun 1, 2023 Accepting new patients

Locations

1935 Lutcher Ave
Ste B
Lutcher, LA 70071
Phone (225) 258-1800

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP06251 LA Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.