Jaime Richard Macaluso, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP08817 Issued in LA

Practice address

4315 Houma Blvd Suite 500
Metairie, LA 70006

Phone

(504) 889-5250

Fax

(504) 889-5288

NPI assigned

Jun 29, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capital City Medical Group, L.L.C.Group PAC ID 8628252392, 38 clinicians

Practice addresses (Care Compare)

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.

• Capital City Medical Group, L.L.C.

  dba Primary Care Plus

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1144522855
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1255782330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 HOUMA BLVD",
            "address_2": "STE 202",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062924",
            "telephone_number": "504-503-6791",
            "fax_number": "504-393-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 HOUMA BLVD SUITE 500",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70006",
            "telephone_number": "504-889-5250",
            "fax_number": "504-889-5288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "148 Wall Blvd",
            "address_purpose": "LOCATION",
            "city": "Gretna",
            "state": "LA",
            "postal_code": "700567107",
            "country_code": "US",
            "telephone_number": "504-393-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACALUSO",
        "first_name": "JAIME",
        "middle_name": "RICHARD",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN129789",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "AP08817",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renata Antionette Lyons
• Thomas Reed Lyons, M.D.
• M Slattery MD LLC (Shrink Psychiatry)
• M. Lathrop Inc. (The Relationship Center)
• Eric M Macaluso, DDS
• Russell P Macaluso, PSS
• Emily Macdougall, PHD
• Katie Robinson Macedo, CRNA
• Catherine M Macgregor, PHD
• Liby De la Fuente Macip, LPC

• Family Nurse Practitioner in Metairie, LA
• Providers in Metairie, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.