Individual provider Active NPI

Aimee Denise Oldham, NP

  • Family Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1225074719
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09278 Issued in LA
Practice address
3400 Medical Park Dr Ste B
Monroe, LA 71203-2300
Phone
(318) 387-6803
NPI assigned
Jun 21, 2006
Last updated
Apr 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71001434 IN
Family Nurse Practitioner 363LF0000X AP09278 LA Primary

Addresses

Primary practice location

3400 Medical Park Dr Ste B
Monroe, LA 71203-2300

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 526-0011

Other practice location 1

9644 Highway 165 N
Sterlington, LA 71280-3185
Phone (318) 966-8800

Other identifiers 2

IdentifierTypeStateIssuer
200422460MedicaidIN
2452029MedicaidLA

Other names 1

  • Aimee Denise Claussen Former name

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
I20170816003603 LA Practitioner - Nurse Practitioner 4284723719 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis Medical Group LLCGroup PAC ID 5092970624, 176 clinicians

Practice addresses (Care Compare)

1100 N 18TH St
Cardiology Clinic
Monroe, LA 71201-5712
Phone (318) 966-8850

1506 Royal Ave
Monroe, LA 71201-5610
Phone (318) 966-8600

2600 Tower Dr
Monroe, LA 71201-5782
Phone (318) 966-2871

2600 Tower Dr
Monroe, LA 71201-5783

301 Hall St
Monroe, LA 71201-7526
Phone (318) 966-6565

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4541

3100 Forsythe Ave
Monroe, LA 71201-3014
Phone (318) 966-8875

312 Grammont St
Monroe, LA 71201-7403

312 Grammont St
Suite 410
Monroe, LA 71201-7411
Phone (318) 966-6300

500 Hall St
Monroe, LA 71201-7531
Phone (318) 966-7337

500 Hart St
Monroe, LA 71201-7504
Phone (318) 966-8300

517 Catalpa St
Monroe, LA 71201-7426
Phone (318) 966-6500

711 Saint John St
Monroe, LA 71201-8435
Phone (318) 966-8666

8950 Hwy 165 N 2
Primary Care North
Sterlington, LA 71280
Phone (318) 966-8800

9644 Hwy 165 N
Primary Care Sterlington
Sterlington, LA 71280
Phone (318) 966-8800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71001434INMDFamily Nurse Practitioner
AP09278LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Medical Group LLC CurrentSince Apr 1, 2020 Accepting new patients
St. Francis Urgent Care LLC CurrentSince May 16, 2019 Accepting new patients
Ear,Nose and Throat Specialists, L.L.C. CurrentSince Sep 24, 2018 Accepting new patients
Madison County Community Health Centers Inc Past Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

2020 Tower Dr
Ste 100
Monroe, LA 71201
Phone (318) 966-6220

517 Catalpa St
Monroe, LA 71201
Phone (318) 966-6500

9644 Highway 165 N
Sterlington, LA 71280
Phone (318) 283-3980

102 Thomas Rd
Ste 117
West Monroe, LA 71291
Phone (318) 322-9882

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1225074719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-526-0011",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 MEDICAL PARK DR STE B",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032300",
            "telephone_number": "318-387-6803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9644 Highway 165 N",
            "address_purpose": "LOCATION",
            "city": "Sterlington",
            "state": "LA",
            "postal_code": "712803185",
            "country_code": "US",
            "telephone_number": "318-966-8800",
            "fax_number": "318-966-8801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLDHAM",
        "first_name": "AIMEE",
        "middle_name": "DENISE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001434",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200422460",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2452029",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIMEE",
            "last_name": "CLAUSSEN",
            "middle_name": "DENISE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.