Individual provider Active NPI

Calli Vanlangendonck, PA-C

  • Physician Assistant
  • Kenner, LA
National Provider Identifier
1205408275
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
328003 Issued in LA
Practice address
3417 Williams Blvd
Kenner, LA 70065-3725
Phone
(504) 461-9660
NPI assigned
Jul 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 328003 LA
Physician Assistant 363A00000X 328003 LA Primary

Addresses

Primary practice location

3417 Williams Blvd
Kenner, LA 70065-3725

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

Other practice location 1

9605 Jefferson Hwy Ste G
River Ridge, LA 70123-2550
Phone (504) 739-9494

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
I20210824002698 LA Practitioner - Physician Assistant 9335544675 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crescent City Physicians IncGroup PAC ID 2769370543, 158 clinicians

Practice addresses (Care Compare)

100 W Harrison Ave
Suite 101
New Orleans, LA 70124-1357
Phone (504) 325-2929

2121 Ridgelake Dr
Metairie, LA 70001-2080

2820 Canal St
New Orleans, LA 70119-6302
Phone (504) 821-8158

3434 Prytania St
Suite 450
New Orleans, LA 70115-3575
Phone (504) 897-7196

3700 Saint Charles Ave
New Orleans, LA 70115-4637

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
328003LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Aug 16, 2021 Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 16, 2021 Accepting new patients
Nephrology Associates Past Accepting new patients
Ochsner Clinic LLC Past Accepting new patients
Ochsner Clinic LLC Past Accepting new patients
Ochsner Clinic LLC Past Accepting new patients

Locations

8050 W Judge Perez Dr
Ste 3200
Chalmette, LA 70043
Phone (504) 309-8615

8050 W Judge Perez Dr
Ste 2300
Chalmette, LA 70043
Phone (504) 281-2800

3417 Williams Blvd
Kenner, LA 70065
Phone (504) 461-9660

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

9605 Jefferson Hwy
Ste G
River Ridge, LA 70123
Phone (337) 853-0999

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1625875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1205408275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 WILLIAMS BLVD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653725",
            "telephone_number": "504-461-9660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9605 Jefferson Hwy Ste G",
            "address_purpose": "LOCATION",
            "city": "River Ridge",
            "state": "LA",
            "postal_code": "701232550",
            "country_code": "US",
            "telephone_number": "504-739-9494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANLANGENDONCK",
        "first_name": "CALLI",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-10",
        "last_updated": "2021-08-16",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "LA",
            "license": "328003",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "328003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

Verify at the official NPI Registry.