Active NPI
Nicole Marie Jarreau, FNP
- Family Nurse Practitioner
- Zachary, LA
National Provider Identifier
1376984468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP07418
- Practice address
- 6550 Main St Ste 1000
Zachary, LA 70791-4092 - Phone
- (225) 654-1559
- Fax
- (225) 654-6212
- NPI assigned
- Jul 17, 2013
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP07418 | LA | Primary |
Addresses
Primary practice location
6550 Main St Ste 1000
Zachary, LA 70791-4092
Mailing address
6550 Main St Ste 1000
Zachary, LA 70791-4092
Phone (225) 654-1559
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2347209 | Medicaid | LA |
Other names 1
- Nicole Marie Celello
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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10793 Plank Rd
Clinton, LA 70722-0000
Phone (225) 522-3410
6550 Main St
Suite 1000
Zachary, LA 70791-4092
Phone (225) 654-1559
Hospital & facility affiliations
- Lane Home Health an Affiliate of Lane Reg Medical
- Lane Regional Medical Center
- West Feliciana Parish Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP07418 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinton Family Practice LLC | Current | Accepting new patients | |
| The Wellness Studio, LLC | Past | Accepting new patients |
Locations
10793 Plank Rd
Clinton, LA 70722
Phone (225) 522-3410
6550 Main St
Ste 1000
Zachary, LA 70791
Phone (225) 654-1559
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CAHIDD
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Clinton, LA
- NPI 1790679579
-
- Cardiovascular Disease Physician
- Houma, LA
- NPI 1982689113
-
- Community/Behavioral Health Agency
- Baton Rouge, LA
- NPI 1609245117
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Endoscopy Clinic/Center
- Zachary, LA
- NPI 1255080503
Hospital
-
- General Acute Care Hospital
- Zachary, LA
- NPI 1376591941
-
- Psychiatry Physician
- Zachary, LA
- NPI 1679466577
Hospital
-
- Allergy & Immunology Physician
- Zachary, LA
- NPI 1740061076
Hospital
-
- Gastroenterology Physician
- Zachary, LA
- NPI 1952878506
Hospital
-
- Dermatology Physician
- Zachary, LA
- NPI 1992477111
Hospital
-
- Home Health Agency
- Zachary, LA
- NPI 1992718605
-
- Critical Access Hospital
- Saint Francisville, LA
- NPI 1164497533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564531200000",
"number": "1376984468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6550 MAIN ST STE 1000",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707914092",
"telephone_number": "225-654-1559",
"fax_number": "225-654-6212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6550 MAIN ST STE 1000",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707914092",
"telephone_number": "225-654-1559",
"fax_number": "225-654-6212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARREAU",
"first_name": "NICOLE",
"middle_name": "MARIE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-17",
"last_updated": "2019-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP07418",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2347209",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "CELELLO",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Zachary, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.