Individual provider Active NPI

Quianne Shortt Aguillard, FNP-C

  • Family Nurse Practitioner
  • Jefferson, LA
National Provider Identifier
1306367586
Registry record updated Aug 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09400 Issued in LA
Practice address
2614 Jefferson Hwy FL 2
Jefferson, LA 70121
Phone
(504) 314-4242
NPI assigned
Jun 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2018

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 AP09400 LA Primary

Addresses

Primary practice location

2614 Jefferson Hwy FL 2
Jefferson, LA 70121

Mailing address

2111 Mediamolle Dr
New Orleans, LA 70114-3435
Phone (504) 638-8616

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
I20171201002897 LA Practitioner - Nurse Practitioner 3870850621 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Dec 18, 2017 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Dec 18, 2017 Accepting new patients
Community Care Health Network LLC CurrentSince Jul 1, 2023 Accepting new patients
University Medical Center Management Corporation CurrentSince Feb 6, 2019 Accepting new patients
University Medical Center Management Corporation Family CurrentSince Feb 6, 2019 Accepting new patients
Gulf States Long Term Acute Care of New Orleans, LLC Past Accepting new patients
Louisiana Extended Care Hospital of Kenner, LLC Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

1514 Jefferson Hwy
New Orleans, LA 70121

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534550400000",
    "number": "1306367586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 MEDIAMOLLE DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701143435",
            "telephone_number": "504-638-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 JEFFERSON HWY FL 2",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "70121",
            "telephone_number": "504-314-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILLARD",
        "first_name": "QUIANNE",
        "middle_name": "SHORTT",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2018-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, LA

Sources for this page

Verify at the official NPI Registry.