Individual provider Active NPI

Robert Keith Byram, FNP

  • Family Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1356528616
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R853885 Issued in MS
Practice address
1415 Tulane Ave
New Orleans, LA 70112-2600
Phone
(504) 988-6300
Fax
(504) 988-6348
NPI assigned
Jan 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R853885 MS Primary
Family Nurse Practitioner 363LF0000X AP06172 LA

Addresses

Primary practice location

1415 Tulane Ave
New Orleans, LA 70112-2600

Mailing address

1430 Tulane Ave
Suite 8578
New Orleans, LA 70112-2632
Phone (504) 988-5482

Other identifiers 4

IdentifierTypeStateIssuer
AP06172OtherLAADVANCED PRACTICE RN
R853885OtherMSRN LICENSE
PA021177CSOtherLAPRESCRIPTIVE AUTHORITY INFO
RN116868OtherLARN LICENCE

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
I20110216000169 LA Practitioner - Nurse Practitioner 1557424637 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1415 Tulane Ave
New Orleans, LA 70112-2600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP06172LAMDFamily Nurse Practitioner
R853885MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Apr 1, 2014 Accepting new patients
Foucher Emergency Group LLC Nurse Practitioner CurrentSince Feb 3, 2015 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty CurrentSince Oct 1, 2018 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Apr 1, 2014 Accepting new patients
Newton Hospital, Inc Past Accepting new patients
Newton Hospital, Inc. Past Accepting new patients

Locations

1208 Wisteria St
Alexandria, LA 71301
Phone (318) 484-4801

4720 S I 10 Service Rd W
Ste 401
Metairie, LA 70001
Phone (504) 780-6500

1430 Tulane Ave
Ste 8578
New Orleans, LA 70112

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

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

5640 Read Blvd
Ste 550
New Orleans, LA 70127
Phone (504) 241-9000

150 S Liberty St
New Orleans, LA 70112
Phone (504) 988-6300

1430 Tulane Ave
#T
New Orleans, LA 70112

2000 Canal St
Fl 5
New Orleans, LA 70112
Phone (504) 702-4333

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1356528616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE",
            "address_2": "SUITE 8578",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-5482",
            "fax_number": "504-988-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 TULANE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122600",
            "telephone_number": "504-988-6300",
            "fax_number": "504-988-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRAM",
        "first_name": "ROBERT",
        "middle_name": "KEITH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-29",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R853885",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06172",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE RN",
            "identifier": "AP06172",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "R853885",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESCRIPTIVE AUTHORITY INFO",
            "identifier": "PA021177CS",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENCE",
            "identifier": "RN116868",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.