Individual provider Active NPI

Lauren Malus Hernandez, M.D

  • Pediatrics Physician
  • Metairie, LA
National Provider Identifier
1194024083
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD.206586 Issued in LA
Practice address
1041 Veterans Memorial Blvd Ste 300
Metairie, LA 70005-2848
Phone
(504) 267-9336
Fax
(504) 267-9337
NPI assigned
Mar 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD.206586 LA Primary

Addresses

Primary practice location

1041 Veterans Memorial Blvd Ste 300
Metairie, LA 70005-2848

Mailing address

1041 Veterans Memorial Blvd Ste 300
Metairie, LA 70005-2848
Phone (504) 267-9336

Other identifiers 1

IdentifierTypeStateIssuer
2150944MedicaidLA

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.206586LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sprout Pediatrics, LLC Pediatrics CurrentSince Jun 7, 2020 Accepting new patients
Keith a. Collins MD LLC Pediatrics Past Accepting new patients

Locations

1041 Veterans Memorial Blvd
#300
Metairie, LA 70005
Phone (504) 267-9336

Organizations & group practices 2

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": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1194024083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 VETERANS MEMORIAL BLVD STE 300",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700052848",
            "telephone_number": "504-267-9336",
            "fax_number": "504-267-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 VETERANS MEMORIAL BLVD STE 300",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700052848",
            "telephone_number": "504-267-9336",
            "fax_number": "504-267-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "LAUREN",
        "middle_name": "MALUS",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-18",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.206586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2150944",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.