Individual provider Active NPI

Nicole Marie Perry

  • Family Nurse Practitioner
  • Morgan City, LA
National Provider Identifier
1245829407
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
218221 Issued in LA
Practice address
6322 Highway 182 E
Morgan City, LA 70380-2038
Phone
(985) 702-1220
NPI assigned
Jan 12, 2021
Last updated
Apr 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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 218221 LA Primary

Addresses

Primary practice location

6322 Highway 182 E
Morgan City, LA 70380-2038

Mailing address

6322 Highway 182 E
Morgan City, LA 70380-2038
Phone (985) 714-9087

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
I20210319000315 LA Practitioner - Nurse Practitioner 6800203878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1234 David Dr
Suite 103
Morgan City, LA 70380-1369
Phone (985) 221-4436

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
218221LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Wellness Clinic LLC CurrentSince Oct 2, 2023 Accepting new patients

Locations

1234 David Dr
Ste 103
Morgan City, LA 70380
Phone (985) 221-4436

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBJCDD/Endpoint/JBJCDD

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, 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": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1245829407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6322 HIGHWAY 182 E",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703802038",
            "telephone_number": "985-714-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6322 HIGHWAY 182 E",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703802038",
            "telephone_number": "985-702-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "218221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan City, LA

Sources for this page

Verify at the official NPI Registry.