Active NPI
Cheryl Lynn Nicks, NNP
- Neonatal Nurse Practitioner
- Marrero, LA
National Provider Identifier
1174714588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- AP01190
- Practice address
- 1101 Medical Ctr. Blvd.
Nicu
Marrero, LA 70072 - Phone
- (504) 349-2427
- Fax
- (504) 349-2426
- NPI assigned
- Aug 9, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 01190 | LA | |
| Neonatal Nurse Practitioner | 363LN0000X | AP01190 | LA | Primary |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | RN041131 | LA | |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | AP01190 | LA |
Addresses
Primary practice location
1101 Medical Ctr. Blvd.
Nicu
Marrero, LA 70072
Mailing address
1101 Medical Ctr. Blvd.
Nicu
Marrero, LA 70072
Phone (504) 349-2427
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134007 | Medicaid | LA | |
| 08025373 | Medicaid | MS |
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 |
|---|---|---|---|
| 01190 | LA | MD | Neonatal Nurse Practitioner |
| AP01190 | LA | MD | Critical Care Neonatal Nurse Practitioner |
| RN041131 | LA | MD | Critical Care Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Past | Accepting new patients |
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.
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362528000000",
"number": "1174714588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 MEDICAL CTR. BLVD.",
"address_2": "NICU",
"city": "MARRERO",
"state": "LA",
"postal_code": "70072",
"telephone_number": "504-349-2427",
"fax_number": "504-349-2426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 MEDICAL CTR. BLVD.",
"address_2": "NICU",
"city": "MARRERO",
"state": "LA",
"postal_code": "70072",
"telephone_number": "504-349-2427",
"fax_number": "504-349-2426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICKS",
"first_name": "CHERYL",
"middle_name": "LYNN",
"credential": "NNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-09",
"last_updated": "2013-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "LA",
"license": "01190",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "LA",
"license": "AP01190",
"primary": true
},
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "LA",
"license": "RN041131",
"primary": false
},
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "LA",
"license": "AP01190",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134007",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08025373",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marrero, LA
- Ruby Thuy-Huy Le Nhan, DDS
- Nicholson Baehr Calhoun MDS LTD Apmc
- Clifton Scott Nicholson-Uhl, M.D
- Craig Jason Nicholson-Uhl, NP
- Brett Otto Nickel, PTA
- Laura A Nicosia, MD
- Cherie S. Niles, M.D.
- Nna of Louisiana, LLC (Fresenius Medical Care Oschner-West Bank)
- Nna of Louisiana, LLC (Fresenius Medical Care West Bank)
- Noahs Transportation LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.