Individual provider Active NPI

Nathan Edward Pearson, FNP

  • Family Nurse Practitioner
  • West Monroe, LA
National Provider Identifier
1215378807
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07382 Issued in LA
Practice address
2809 Arkansas Rd
West Monroe, LA 71291-8694
Phone
(318) 397-7000
Fax
(318) 537-9049
NPI assigned
Jul 11, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP07382 LA Primary

Addresses

Primary practice location

2809 Arkansas Rd
West Monroe, LA 71291-8694

Mailing address

2809 Arkansas Rd
West Monroe, LA 71291-8694
Phone (318) 397-7000

Other identifiers 1

IdentifierTypeStateIssuer
AP07382OtherLAFNP CERT # F0613569

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
I20140807001402 LA Practitioner - Nurse Practitioner 5991922353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Oakland College of Medicine and Surgery, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sansons Family Medicine IncGroup PAC ID 4486713898, 3 clinicians

Practice addresses (Care Compare)

2309 Arkansas Rd
West Monroe, LA 71291-7820
Phone (318) 397-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP07382LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sansons Family Medicine Inc CurrentSince Apr 6, 2014 Accepting new patients

Locations

2309 Arkansas Rd
West Monroe, LA 71291
Phone (318) 397-1574

Organizations & group practices 1

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 1

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": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1215378807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 ARKANSAS RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712918694",
            "telephone_number": "318-397-7000",
            "fax_number": "318-537-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 ARKANSAS RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712918694",
            "telephone_number": "318-397-7000",
            "fax_number": "318-537-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "NATHAN",
        "middle_name": "EDWARD",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP CERT # F0613569",
            "identifier": "AP07382",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

Verify at the official NPI Registry.