Individual provider Active NPI

Olivia Lauren Cornu, AGPCNP-C

  • Primary Care Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1144671538
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP09255 Issued in LA
Practice address
131 S Robertson St Ste 1300
New Orleans, LA 70112-2807
Phone
(504) 988-5565
Fax
(504) 988-5793
NPI assigned
Jun 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP09255 LA Primary
Primary Care Nurse Practitioner 363LP2300X H134109 IA
Primary Care Nurse Practitioner 363LP2300X 904776 MS

Addresses

Primary practice location

131 S Robertson St Ste 1300
New Orleans, LA 70112-2807

Mailing address

131 S Robertson St Ste 1300
New Orleans, LA 70112-2807
Phone (504) 988-5565

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
I20170810003625 LA Practitioner - Nurse Practitioner 8022304120 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Jun 10, 2017 Accepting new patients
East Jefferson Physicians Group LLC CurrentSince Oct 16, 2023 Accepting new patients
New Orleans Physician Services Inc Nurse Practitioner CurrentSince Nov 1, 2024 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jun 10, 2017 Accepting new patients
Metairie Physician Services Inc. Nurse Practitioner Past Accepting new patients

Locations

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

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

131 S Robertson St
Ste 1300
New Orleans, LA 70112
Phone (504) 988-3591

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1430 Tulane Ave
#8065
New Orleans, LA 70112
Phone (504) 988-2348

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144671538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 S ROBERTSON ST STE 1300",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122807",
            "telephone_number": "504-988-5565",
            "fax_number": "504-988-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 S ROBERTSON ST STE 1300",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122807",
            "telephone_number": "504-988-5565",
            "fax_number": "504-988-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNU",
        "first_name": "OLIVIA",
        "middle_name": "LAUREN",
        "credential": "AGPCNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2022-07-21",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "AP09255",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IA",
            "license": "H134109",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MS",
            "license": "904776",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.