Andrea Nero Theodore, PMHNP-BC, FNP-C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP09533 Issued in LA

Practice address

2900 Westfork Dr Ste 401
Baton Rouge, LA 70827-0004

Phone

(844) 644-4325

NPI assigned

Aug 11, 2017

Last updated

Aug 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marillac Community Health CentersGroup PAC ID 3678755535, 70 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations (25 of 32)

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.

• Marillac Community Health Centers

  dba Daughters of Charity Health Center - Metairie

  • Primary Care Clinic/Center
  • Metairie, LA
  • NPI 1396059796
  Medicare reassignment Care Compare group NPD
• Marillac Community Health Centers

  dba Daughters of Charity Health Center - Carrollton

  • Primary Care Clinic/Center
  • New Orleans, LA
  • NPI 1265746663
  NPD
• Marillac Community Health Centers

  dba DePaul Community Health Centers - Hammond

  • Federally Qualified Health Center (FQHC)
  • Hammond, LA
  • NPI 1578442505
  NPD
• Marillac Community Health Centers

  dba DePaul Community Health Centers-Homer A. Plessy Community School

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1073120614
  NPD (past)
• Marillac Community Health Centers

  dba Daughters of Charity Health Center-Algiers

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1093249518
  NPD (past)
• Marillac Community Health Centers

  dba DePaul Community Health Centers-Our Lady of Perpetual Help

  • Federally Qualified Health Center (FQHC)
  • Kenner, LA
  • NPI 1669086690
  NPD (past)
• Marillac Community Health Centers

  dba DCHC-Homer Plessy 7th Ward Campus

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1730632795
  NPD (past)
• Marillac Community Health Centers

  dba Daughters of Charity Health Center-St. Cecelia

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1780935973
  NPD (past)
• Marillac Community Health Centers

  dba DePaul Community Health Centers-Edna Karr High School

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1811502727
  NPD (past)
• Marillac Community Health Centers

  dba Daughters of Charity Health Centers

  • Clinic/Center
  • Kenner, LA
  • NPI 1831594241
  NPD (past)

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1386169217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 FARWOOD DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701263260",
            "telephone_number": "504-338-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 WESTFORK DR STE 401",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708270004",
            "telephone_number": "844-644-4325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Indiana Ave",
            "address_purpose": "LOCATION",
            "city": "Kenner",
            "state": "LA",
            "postal_code": "700654605",
            "country_code": "US",
            "telephone_number": "504-575-3712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THEODORE",
        "first_name": "ANDREA",
        "middle_name": "NERO",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09533",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP09533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2458523",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Vascular Lab LLC
• The Wellness Studio, LLC
• The Wise Fox Corporation (CoCreations)
• The Women's Clinic of Baton Rouge a Medical Corporation
• The Young Men's Christian Association of the Capital Area
• Theophilus Community Programs, Inc. (TCP, Inc.)
• Theophilus Community Programs, Inc. (TCP, Inc.)
• Theophilus Community Programs, Inc. (TCP, Inc.)
• Theophilus Community Programs, Inc. (TCP, Inc.)
• Theophilus Community Programs, Inc. (TCP, Inc.)

• Psychiatric/Mental Health Nurse Practitioner in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.

Verify at the official NPI Registry.