Active NPI
Gloria Roussell Stewart
- Psychiatric/Mental Health Nurse Practitioner
- Slidell, LA
National Provider Identifier
1114400439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 201191
- Practice address
- 113 Christian LN
Slidell, LA 70458-1377 - Phone
- (985) 781-7353
- Fax
- (985) 781-7354
- NPI assigned
- Sep 12, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 201191 | LA | Primary |
Addresses
Primary practice location
113 Christian LN
Slidell, LA 70458-1377
Mailing address
113 Christian LN
Slidell, LA 70458-1377
Phone (985) 781-7353
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
Interoperability endpoints
- gloria.stewart.1@11331.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558483200000",
"number": "1114400439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 CHRISTIAN LN",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704581377",
"telephone_number": "985-781-7353",
"fax_number": "985-781-7354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 CHRISTIAN LN",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704581377",
"telephone_number": "985-781-7353",
"fax_number": "985-781-7354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "GLORIA",
"middle_name": "ROUSSELL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-12",
"last_updated": "2019-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "LA",
"license": "201191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.