Micah Aaron Callais, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP09738 Issued in LA

Practice address

604 N. Acadia Road
Suite 200
Thibodaux, LA 70301

Phone

(985) 448-3700

Fax

(985) 448-3900

NPI assigned

Feb 22, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Childrens Hospital Medical Practice Corporation

  • Pediatrics Physician
  • New Orleans, LA
  • NPI 1821090713
  Medicare reassignment NPD
• The Center for Pediatric and Adolescent Medicine,LLC

  • Pediatric Adolescent Medicine Physician
  • Thibodaux, LA
  • NPI 1407858566
  NPD (past)

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1225539620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 N. ACADIA ROAD",
            "address_2": "SUITE 200",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "70301",
            "telephone_number": "985-448-3700",
            "fax_number": "985-448-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 N. ACADIA ROAD",
            "address_2": "SUITE 200",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "70301",
            "telephone_number": "985-448-3700",
            "fax_number": "985-448-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAIS",
        "first_name": "MICAH",
        "middle_name": "AARON",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "AP09738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edcharra G Cage, PST
• Tatiana Sasha Caldera, MOTR/L
• Tonya Jean Caldwell
• Erica Callais Howell
• Janey Danos Callais, OT
• Victoria Callais
• Camile L. Chiasson, O.D., Apoc
• Ashlynn Verrett Campbell, RD, LDN
• Chesere Lynne Cancienne, PHARMD.
• Casey Cannon

• Pediatric Nurse Practitioner in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Pediatric Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.