Active NPI
Sheila Nickelson
- Case Manager/Care Coordinator
- New Orleans, LA
National Provider Identifier
1194305607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 5088
- Practice address
- 2235 Poydras St Ste a
New Orleans, LA 70119-7561 - Phone
- (504) 814-8001
- Fax
- (504) 814-8002
- NPI assigned
- Apr 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | LA | ||
| Case Manager/Care Coordinator | 171M00000X | 5088 | LA | Primary |
Addresses
Primary practice location
2235 Poydras St Ste a
New Orleans, LA 70119-7561
Mailing address
2235 Poydras St Ste a
New Orleans, LA 70119-7561
Phone (504) 814-8001
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5088 | LA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1194305607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2235 POYDRAS ST STE A",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701197561",
"telephone_number": "504-814-8001",
"fax_number": "504-814-8002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2235 POYDRAS ST STE A",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701197561",
"telephone_number": "504-814-8001",
"fax_number": "504-814-8002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICKELSON",
"first_name": "SHEILA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-09",
"last_updated": "2021-04-09",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": "5088",
"primary": true
}
],
"identifiers": [],
"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 Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.