Individual provider Active NPI

Geneva Carter, FNP

  • Family Nurse Practitioner
  • Kentwood, LA
National Provider Identifier
1245788587
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
08767 Issued in LA
Practice address
721 Avenue G
Kentwood, LA 70444-2601
Phone
(225) 306-2100
NPI assigned
Sep 15, 2016
Last updated
Feb 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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 08767 LA Primary

Addresses

Primary practice location

721 Avenue G
Kentwood, LA 70444-2601

Mailing address

721 Avenue G
Kentwood, LA 70444-2601
Phone (225) 306-2100

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
I20171006000207 LA Practitioner - Nurse Practitioner 4880969526 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
08767LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Community Health Systems Current Accepting new patients
Southeast Community Health Systems CurrentSince Apr 1, 2023 Accepting new patients
Southeast Community Health Systems CurrentSince Aug 23, 2017 Accepting new patients
Southeast Community Health Systems CurrentSince Aug 23, 2017 Accepting new patients

Locations

30575 Old Baton Rouge Hwy
Hammond, LA 70403
Phone (225) 306-2050

721 Avenue G
Kentwood, LA 70444
Phone (225) 306-2023

6351 Main St
Zachary, LA 70791
Phone (225) 306-2026

Interoperability endpoints

  • Direct secure messaging: geneva.carter@shchc.directbygreenway.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JCEIBD

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.

NPI Registry JSON

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1245788587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 AVENUE G",
            "city": "KENTWOOD",
            "state": "LA",
            "postal_code": "704442601",
            "telephone_number": "225-306-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 AVENUE G",
            "city": "KENTWOOD",
            "state": "LA",
            "postal_code": "704442601",
            "telephone_number": "225-306-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "GENEVA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "08767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentwood, LA

Sources for this page

Verify at the official NPI Registry.