Organization Active NPI

Paisley Family Medical Center, LLC

  • Family Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1184089492
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP04742 Issued in LA
Legal business name
PAISLEY FAMILY MEDICAL CENTER, LLC
Practice address
4301 Elysian Fields Ave Ste 103
New Orleans, LA 70122-7403
Phone
(504) 962-9705
Fax
(504) 962-9707
NPI assigned
Dec 31, 2015
Last updated
Mar 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Monique Dannette Barconey, DNP,MPH,APRN,FNP-CNPI 1811961311
Title
Family Nurse Practitioner
Phone
(504) 962-9705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP04742 LA Primary

Addresses

Primary practice location

4301 Elysian Fields Ave Ste 103
New Orleans, LA 70122-7403

Mailing address

4910 Howard Ave
New Orleans, LA 70125-1116
Phone (504) 390-0539

Other identifiers 2

IdentifierTypeStateIssuer
1032239MedicaidLA
2412108MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160322000218 LA Part B Supplier - Clinic/Group Practice 2860799731 Receives reassigned benefits from 1 practitioner
Practice locations: New Orleans, LA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17624/brand/1/csg/1/fhir/r4

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1184089492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 HOWARD AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701251116",
            "telephone_number": "504-390-0539",
            "fax_number": "504-322-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 ELYSIAN FIELDS AVE STE 103",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701227403",
            "telephone_number": "504-962-9705",
            "fax_number": "504-962-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAISLEY FAMILY MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "BARCONEY",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "DANNETTE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "504-962-9705",
        "authorized_official_credential": "DNP,MPH,APRN,FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP04742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032239",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2412108",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.