NPIMap

Individual provider Active NPI

Sherrie Tilley Eakin, MSN, FNP-C

  • Family Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1184060089
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07284 Issued in LA
Practice address
401 Dr Michael Debakey Dr
Ste 100
Lake Charles, LA 70601-5864
Phone
(337) 436-6100
Fax
(337) 436-6190
NPI assigned
May 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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 AP07284 LA Primary

Addresses

Primary practice location

401 Dr Michael Debakey Dr
Ste 100
Lake Charles, LA 70601-5864

Mailing address

919 Hidden RDG
6TH Floor
Irving, TX 75038-3813
Phone (469) 282-2711

Other identifiers 1

IdentifierTypeStateIssuer
2354442MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140314000244 LA Practitioner - Nurse Practitioner 5991935983 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

104 Acadia Park Dr
Raceland, LA 70394-2618
Phone (985) 537-3211

333 Doctor Michael Debakey Dr
Lake Charles, LA 70601-5887
Phone (337) 513-0060

401 Doctor Michael Debakey Dr
Lake Charles, LA 70601-5864
Phone (337) 436-6100

Hospital & facility affiliations

  • Christus Ochsner St Patrick Hospital Hospital, Lake Charles, LA, CCN 190027
  • Christus Ochsner Lake Area Hospital Hospital, Lake Charles, LA, CCN 190201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP07284LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Current Accepting new patients
C H Wilkinson Physician Network Nurse Practitioner CurrentSince Dec 25, 2013 Accepting new patients
Ochsner Clinic LLC CurrentSince Jan 21, 2019 Accepting new patients
C H Wilkinson Physician Network CurrentSince Dec 25, 2013 Accepting new patients
Ochsner Clinic LLC CurrentSince Jan 21, 2019 Accepting new patients

Locations

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

401 Dr Michael Debakey Dr
Ste 100
Lake Charles, LA 70601
Phone (337) 436-6100

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

1 Saint Mary Pl
Shreveport, LA 71101
Phone (318) 681-4500

919 Hidden Rdg
Fl 6
Irving, TX 75038
Phone (469) 282-2711

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
  • Direct secure messaging: seakin690490@direct.ochsner.org

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1184060089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 HIDDEN RDG",
            "address_2": "6TH FLOOR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383813",
            "telephone_number": "469-282-2711",
            "fax_number": "469-282-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DR MICHAEL DEBAKEY DR",
            "address_2": "STE 100",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015864",
            "telephone_number": "337-436-6100",
            "fax_number": "337-436-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAKIN",
        "first_name": "SHERRIE",
        "middle_name": "TILLEY",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-17",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2354442",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.