Individual provider Active NPI

Lilia Henriquez, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Metairie, LA
National Provider Identifier
1184276735
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
207909 Issued in LA
Practice address
4421 Conlin St Ste 101
Metairie, LA 70006-2145
Phone
(504) 455-2002
NPI assigned
Jul 14, 2019
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN136138 LA
Family Nurse Practitioner 363LF0000X 207909 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 207909 LA Primary

Addresses

Primary practice location

4421 Conlin St Ste 101
Metairie, LA 70006-2145

Mailing address

1111 Medical Center Blvd Ste S750
Marrero, LA 70072-3197
Phone (504) 669-8246

Other practice location 1

3777 Lake Lynn Dr
Gretna, LA 70056-8336
Phone (504) 669-8246

Other names 1

  • Lilia Arcement Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200211002361 LA Practitioner - Nurse Practitioner 2163858150 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4580 Bluebonnet Blvd
Suite a
Baton Rouge, LA 70809-5604
Phone (225) 766-1616

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN136138LAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Culicchia Neurological Clinic, LLC CurrentSince Feb 3, 2020 Accepting new patients
Rodriguez Clinic and Foundation LLC CurrentSince Sep 1, 2023 Accepting new patients
Louisiana Institute of Physical Medicine & Family Practice CurrentSince Nov 11, 2021 Accepting new patients

Locations

4580 Bluebonnet Blvd
Ste A
Baton Rouge, LA 70809
Phone (225) 766-1616

1111 Medical Center Blvd
Ste S750
Marrero, LA 70072

4421 Conlin St
Ste 101
Metairie, LA 70006
Phone (504) 455-2002

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: lilia.arcement.1@10617.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1563062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1184276735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD STE S750",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723197",
            "telephone_number": "504-669-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 CONLIN ST STE 101",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062145",
            "telephone_number": "504-455-2002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3777 Lake Lynn Dr",
            "address_purpose": "LOCATION",
            "city": "Gretna",
            "state": "LA",
            "postal_code": "700568336",
            "country_code": "US",
            "telephone_number": "504-669-8246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRIQUEZ",
        "first_name": "LILIA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-14",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN136138",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "207909",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "207909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILIA",
            "last_name": "ARCEMENT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.