Individual provider Active NPI

Helen Olasunmade Ajala, NP

  • Family Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1174070767
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP093218 Issued in LA
Practice address
406 St John St.
Lafayette, LA 70501-8882
Phone
(337) 470-3460
NPI assigned
Sep 1, 2016
Last updated
Apr 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP093218 LA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP08982 LA

Addresses

Primary practice location

406 St John St.
Lafayette, LA 70501-8882

Mailing address

406 St John St.
Lafayette, LA 70501
Phone (337) 470-3460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180130001009 LA Practitioner - Nurse Practitioner 0648530246 Reassigns benefits to 2 organizations
I20221017001483 ME Practitioner - Nurse Practitioner 0648530246 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seaside Health System LLCGroup PAC ID 6800926429, 2 clinicians

Practice addresses (Care Compare)

4363 Convention St
Baton Rouge, LA 70806-3906
Phone (225) 522-4076

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP093218LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Jan 27, 2023 Accepting new patients
Bridgton Hospital CurrentSince Jan 27, 2023 Accepting new patients
Rumford Hospital CurrentSince Jan 27, 2023 Accepting new patients
Acadia Hospital Corp CurrentSince Dec 1, 2022 Accepting new patients
Royal Health & Wellness Clinic LLC Family CurrentSince Jul 16, 2020 Accepting new patients
Bridgton Hospital CurrentSince Jan 27, 2023 Accepting new patients
Central Maine Medical Center CurrentSince Jan 27, 2023 Accepting new patients
Seaside Health System, LLC CurrentSince Sep 24, 2021 Accepting new patients
Mainegeneral Medical Center CurrentSince Dec 1, 2022 Accepting new patients
Central Maine Medical Center Current Accepting new patients
Seaside Health System, LLC CurrentSince Sep 24, 2021 Accepting new patients
Eastern Maine Medical Center CurrentSince Oct 30, 2022 Accepting new patients
Eastern Maine Medical Center CurrentSince Oct 30, 2022 Accepting new patients
Rumford Hospital CurrentSince Jan 27, 2023 Accepting new patients

Locations

4363 Convention St
Baton Rouge, LA 70806
Phone (225) 300-4376

400 E Kaliste Saloom Rd
Ste 2600A
Lafayette, LA 70508
Phone (337) 281-9144

268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470

489 State St
Bangor, ME 04401
Phone (207) 973-8837

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Interoperability endpoints

  • Direct secure messaging: hajala1455068@direct.ochsner.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1174070767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 ST JOHN ST.",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70501",
            "telephone_number": "337-470-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 ST JOHN ST.",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705018882",
            "telephone_number": "337-470-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJALA",
        "first_name": "HELEN",
        "middle_name": "OLASUNMADE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP093218",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP08982",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.