Active NPI
Angela S Miserendino, APRN
- Nurse Practitioner
- Harvey, LA
National Provider Identifier
1114092673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN080155 AP03840
- Practice address
- 3909 Lapalco Blvd
Ste. 200
Harvey, LA 70058-2302 - Phone
- (504) 349-6613
- Fax
- (504) 349-6614
- NPI assigned
- Nov 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN080155 AP03840 | LA | Primary |
Addresses
Primary practice location
3909 Lapalco Blvd
Ste. 200
Harvey, LA 70058-2302
Mailing address
3909 Lapalco Blvd
Ste. 200
Harvey, LA 70058-2302
Phone (504) 349-6613
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1462331 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN080155 AP03840 | LA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389916800000",
"number": "1114092673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3909 LAPALCO BLVD",
"address_2": "STE. 200",
"city": "HARVEY",
"state": "LA",
"postal_code": "700582302",
"telephone_number": "504-349-6613",
"fax_number": "504-349-6614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3909 LAPALCO BLVD",
"address_2": "STE. 200",
"city": "HARVEY",
"state": "LA",
"postal_code": "700582302",
"telephone_number": "504-349-6613",
"fax_number": "504-349-6614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISERENDINO",
"first_name": "ANGELA",
"middle_name": "S",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2014-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "RN080155 AP03840",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1462331",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harvey, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.