Theresa Jeanne Nuttli

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

MD.206812 Issued in LA

Practice address

520 Ridgewood Dr
Metairie, LA 70001-6126

Phone

(504) 460-0270

NPI assigned

Apr 23, 2009

Last updated

Sep 13, 2016By 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 LA, MS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Ochsner Clinic LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1538151428
  Medicare reassignment NPD
• Ochsner Mississippi, LLC

  • Internal Medicine Physician
  • Bay Saint Louis, MS
  • NPI 1538674239
  Medicare reassignment NPD
• Ochsner Clinic LLC

  dba Ochsner Urgent Care & Occupational Health - CBD

  • Internal Medicine Physician
  • New Orleans, LA
  • NPI 1003379124
  NPD
• Ochsner Clinic LLC

  dba Diabetes Prevention Program

  • Registered Dietitian
  • Covington, LA
  • NPI 1013747039
  NPD
• Ochsner Mississippi, LLC

  dba Ochsner Urgent Care & Occupational Health - Diamondhead

  • Internal Medicine Physician
  • Diamondhead, MS
  • NPI 1316662059
  NPD
• Ochsner Mississippi, LLC

  dba Ochsner Health Center For Children-Pediatric Specialties-McComb

  • Internal Medicine Physician
  • McComb, MS
  • NPI 1457857062
  NPD

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1346484235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1978 INDUSTRIAL BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703637055",
            "telephone_number": "504-460-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 RIDGEWOOD DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700016126",
            "telephone_number": "504-460-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTTLI",
        "first_name": "THERESA",
        "middle_name": "JEANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-23",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "LA",
            "license": "MD.206812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1883972",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly L Nugent, LPC, LMFT
• Romarieya Nunez
• Ryan Willard Nunez, CRNA
• Penny S Nunn
• Gordon Philip Nutik, MD
• Thomas Gerard Nuttli Sr., M.D.
• Henry Chinonso Nwaeze, MD
• Bennett Onyema Nwankpa, M.D.
• Terese Marie Nystrom-Ford
• NZBC Urban Corporation, Inc.

• Anatomic Pathology & Clinical Pathology Physician in Metairie, LA
• Providers in Metairie, LA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.