Active NPI
Quianne Shortt Aguillard, FNP-C
- Family Nurse Practitioner
- Jefferson, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP09400
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Community Care Health Network LLC | Current | Accepting new patients | |
| University Medical Center Management Corporation | Current | Accepting new patients | |
| University Medical Center Management Corporation | Family | Current | 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.
-
- Family Medicine Physician
- New Orleans, LA
- NPI 1083655567
Family, LA
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- General Practice Physician
- Kenner, LA
- NPI 1396906806
-
- Psychiatric Hospital Unit
- New Orleans, LA
- NPI 1144261728
-
- Long Term Care Hospital
- Kenner, LA
- NPI 1790850378
-
- Long Term Care Hospital
- Jefferson, LA
- NPI 1871736082
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.