Active NPI
Nicholas J Usner, PA
- Physician Assistant
- Metairie, LA
National Provider Identifier
1346698990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 302033
- Practice address
- 3939 Houma Blvd
Ste 21
Metairie, LA 70006-2931 - Phone
- (504) 885-6464
- Fax
- (504) 885-8993
- NPI assigned
- May 24, 2016
- Last updated
- Jul 29, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 302033 | LA | Primary |
Addresses
Primary practice location
3939 Houma Blvd
Ste 21
Metairie, LA 70006-2931
Mailing address
3939 Houma Blvd
Ste 21
Metairie, LA 70006-2931
Phone (504) 885-6464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2422049 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302033 | LA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LMG LLC | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469750400000",
"number": "1346698990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3939 HOUMA BLVD",
"address_2": "STE 21",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700062931",
"telephone_number": "504-885-6464",
"fax_number": "504-885-8993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 HOUMA BLVD",
"address_2": "STE 21",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700062931",
"telephone_number": "504-885-6464",
"fax_number": "504-885-8993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "USNER",
"first_name": "NICHOLAS",
"middle_name": "J",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-24",
"last_updated": "2016-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "302033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2422049",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Metairie, LA
- Urology Associates of Louisiana LLC
- Urology-Medical & Surgical a Medical Corporation (Alfred J. Colfry, Jr., M.D.)
- Heily Jazmin Urquia
- Marcella L. Ursin, MSW, LCSW
- US Bio-Chem Medical Services Inc.
- Ryan Usner
- Lakeisha Shanta Ussin
- Bonnie Muro Ust, D.D.S.
- Ustdds, Inc.
- Usv Optical Inc (Jcpenney Optical)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.