Monica C. Pedersen, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

ARNP3190362 Issued in FL

Practice address

1401 W Esplanade Ave Ste 108a
Kenner, LA 70065-2800

Phone

(504) 575-3712

Fax

(504) 575-3712

NPI assigned

Apr 17, 2007

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Nemours Foundation

  • Multi-Specialty Clinic/Center
  • Jacksonville, FL
  • NPI 1386658615
  Medicare reassignment NPD
• The Nemours Foundation

  • Multi-Specialty Clinic/Center
  • Jacksonville, FL
  • NPI 1265585806
  NPD
• The Nemours Foundation

  • Children's Hospital
  • Wilmington, DE
  • NPI 1467505073
  NPD
• Children's Hospital

  dba Manning Family Children's - Physician Billing

  • Specialist
  • New Orleans, LA
  • NPI 1306156138
  NPD (past)
• Florida Pediatric Associates LLC

  • Pediatrics Physician
  • St Petersburg, FL
  • NPI 1053346718
  NPD (past)
• Florida Pediatric Associates, LLC

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1447553805
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1316163777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 DR. MARTIN LUTHER KING JR. STREET NORTH",
            "address_2": "SUITE 108",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337011547",
            "telephone_number": "727-456-3288",
            "fax_number": "727-456-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W ESPLANADE AVE STE 108A",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652800",
            "telephone_number": "504-575-3712",
            "fax_number": "504-575-3712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 E Princeton Street",
            "address_2": "Suite 225",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328031423",
            "country_code": "US",
            "telephone_number": "407-648-0132",
            "fax_number": "407-648-9853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "MONICA",
        "middle_name": "C.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP3190362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308273300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pathways Behavioral Health
• Iris C Patterson
• Paul S. Tassin, a Professional Chiropractic Corportation (Kenner Chiropractic Clinic)
• Kelly Lanier Paulk, M.D.
• Cheri Ann Pazos, NP
• Millie Toscano Pelias
• Pelican Autism Center of Excellence
• Pelican Podiatry and Surgical Associates
• Margaret H Pennier, NP
• Rachel Poolson Penton, CRNA

• Pediatric Nurse Practitioner in Kenner, LA
• Providers in Kenner, LA by specialty
• Pediatric Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.