Active NPI
David Levy, NP
- Primary Care Nurse Practitioner
- Metairie, LA
National Provider Identifier
1205156254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- RN107034-AP06164
- Practice address
- 3800 Houma Blvd
Ste 325
Metairie, LA 70006-4182 - Phone
- (504) 888-7111
- Fax
- (504) 888-6655
- NPI assigned
- Jun 1, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | RN107034 | LA | |
| Primary Care Nurse Practitioner | 363LP2300X | RN107034-AP06164 | LA | Primary |
Addresses
Primary practice location
3800 Houma Blvd
Ste 325
Metairie, LA 70006-4182
Mailing address
4300 Houma Blvd
Ste 202
Metairie, LA 70006-2932
Phone (504) 883-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2127241 | Medicaid | LA |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN107034 | LA | MD | General Practice Registered Nurse |
| RN107034-AP06164 | LA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Jefferson Physicians Group LLC | Past | Accepting new patients | |
| Metairie Physician Services Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/3fe0dd43-a33d-4fd4-a49d-ab2fa460e893/
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.
-
- Internal Medicine Physician
- New Orleans, LA
- NPI 1922293372
-
- Internal Medicine Physician
- Metairie, LA
- NPI 1801233648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341273600000",
"number": "1205156254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 HOUMA BLVD",
"address_2": "STE 202",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700062932",
"telephone_number": "504-883-3700",
"fax_number": "504-883-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 HOUMA BLVD",
"address_2": "STE 325",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700064182",
"telephone_number": "504-888-7111",
"fax_number": "504-888-6655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "DAVID",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-01",
"last_updated": "2012-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "LA",
"license": "RN107034",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "LA",
"license": "RN107034-AP06164",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2127241",
"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 Jul 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.