Active NPI
Whitney St. Mary Stevens, AGNP-C
- Gerontology Nurse Practitioner
- Slidell, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 219170
- Practice address
- 1120 Robert Blvd Ste 200
Slidell, LA 70458-2069 - Phone
- (985) 646-2411
- Fax
- (985) 646-2413
- NPI assigned
- Apr 7, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 219170 | LA | Primary |
Addresses
Primary practice location
1120 Robert Blvd Ste 200
Slidell, LA 70458-2069
Mailing address
1120 Robert Blvd Ste 200
Slidell, LA 70458-2069
Phone (985) 646-2411
Other names 1
- Whitney St. Mary
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1150 Robert Blvd
Slidell, LA 70458-2004
Phone (985) 649-0002
Hospital & facility affiliations
- Slidell Memorial Hospital
- Ochsner Medical Center Acute
- Highland Community Hospital
- Ochsner Medical Center-Hancock
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 219170 | LA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Slidell Memorial Hospital | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Slidell Memorial Hospital | Past | Accepting new patients |
Locations
1514 Jefferson Hwy
New Orleans, LA 70121
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
1001 Gause Blvd
#75
Slidell, LA 70458
Phone (985) 280-3609
1120 Robert Blvd
Ste 200
Slidell, LA 70458
Phone (985) 646-2223
1150 Robert Blvd
Slidell, LA 70458
Phone (985) 280-8823
Organizations & group practices 5
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.
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Clinic/Center
- Slidell, LA
- NPI 1801020433
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- General Practice Physician
- Raceland, LA
- NPI 1578707188
-
- Specialist
- Slidell, LA
- NPI 1558301093
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
- General Acute Care Hospital
- Slidell, LA
- NPI 1578568481
-
- General Acute Care Hospital
- Picayune, MS
- NPI 1053350462
-
- General Acute Care Hospital
- Bay Saint Louis, MS
- NPI 1588629968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1366021149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 ROBERT BLVD STE 200",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704582069",
"telephone_number": "985-646-2411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 ROBERT BLVD STE 200",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704582069",
"telephone_number": "985-646-2411",
"fax_number": "985-646-2413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "WHITNEY",
"middle_name": "ST. MARY",
"credential": "AGNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-07",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "LA",
"license": "219170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WHITNEY",
"last_name": "ST. MARY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.