Individual provider Active NPI

Angelle Ladner

  • Family Nurse Practitioner
  • Bay St Louis, MS
National Provider Identifier
1174863427
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R876460 Issued in MS
Practice address
151 Thames Ave
Bay St Louis, MS 39520-5002
Phone
(228) 344-3236
NPI assigned
Feb 24, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R876460 MS Primary

Addresses

Primary practice location

151 Thames Ave
Bay St Louis, MS 39520-5002

Mailing address

3068 Port and Harbor Dr
Bay St Louis, MS 39520-9306
Phone (228) 533-9000

Other practice location 1

3068 Port and Harbor Dr
Bay St Louis, MS 39520-9306
Phone (228) 533-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 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
I20130808000649 LA Practitioner - Nurse Practitioner 6103068804 Reassigns benefits to 4 organizations
I20141002000828 MS Practitioner - Nurse Practitioner 6103068804 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R876460MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maxem Health Urgent Care Hammond CurrentSince Oct 23, 2017 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Jun 3, 2013 Accepting new patients
Hancock Emergency Group LLC CurrentSince Sep 1, 2014 Accepting new patients
Ochsner Clinic LLC CurrentSince Jun 3, 2013 Accepting new patients
Van Meter Emergency Physicians Inc. Apmc CurrentSince Jul 29, 2013 Accepting new patients

Locations

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

2741 W Thomas St
Ste A
Hammond, LA 70401
Phone (985) 542-2299

1514 Jefferson Hwy
New Orleans, LA 70121

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

Interoperability endpoints

  • Direct secure messaging: anladner@landmarkhealth-direct.org

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": "1361664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1174863427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3068 PORT AND HARBOR DR",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395209306",
            "telephone_number": "228-533-9000",
            "fax_number": "228-533-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 THAMES AVE",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395205002",
            "telephone_number": "228-344-3236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3068 Port and Harbor Dr",
            "address_purpose": "LOCATION",
            "city": "Bay St Louis",
            "state": "MS",
            "postal_code": "395209306",
            "country_code": "US",
            "telephone_number": "228-533-9000",
            "fax_number": "228-533-9003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LADNER",
        "first_name": "ANGELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-24",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R876460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay St Louis, MS

Sources for this page

Verify at the official NPI Registry.