Staci Lee Benoit, M.D.
Individual provider Active NPI Pediatrics Physician · New Orleans, LA
NPI 1366062895 · NPPES record last updated Jun 19, 2023
Key facts
- NPI
- 1366062895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 337072 (LA)
- Practice address
- 2700 Napoleon Ave
New Orleans, LA 70115-6914 - Phone
- (504) 842-3650
- NPI assigned
- Apr 24, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230911000696 | LA | Practitioner - Pediatric Medicine | 1658794664 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 337072 | LA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current |
Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current |
Accepting new patients | |
| Ochsner Clinic Foundation | Past | Accepting new patients |
Locations
1514 Jefferson Hwy
New Orleans, LA 70121
2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650
Interoperability endpoints
- sbenoit1869298@direct.ochsner.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 337072 | LA | Yes |
Addresses
Primary practice location
2700 Napoleon Ave
New Orleans, LA 70115-6914
Mailing address
2700 Napoleon Ave
New Orleans, LA 70115-6914
Phone (504) 842-3650
Other providers in New Orleans, LA
- Angela Marie Benoit
- Catherine Rose Benoit
- Ellen Barkemeyer Benoit
- Malita Benoit
- Ngina Benoit
- Unique A. Benoit
- Taylor Victoria Bensel
- Nora Benson-Glaspey
- Brittany Lynn Benson
- David C Benson
All providers in New Orleans, LA · Pediatrics Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.