Nightwater Clinic, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

NIGHTWATER CLINIC, LLC

Practice address

719 Okeefe Ave
New Orleans, LA 70113-1906

Phone

(504) 381-4204

NPI assigned

Nov 7, 2017

Last updated

Sep 29, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

NIGHTWATER HEALTH, INCAs reported in NPPES

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

Authorized official

Name

Dr. Paul Ikemire, MDNPI 1477870210

Title

Member

Phone

(504) 372-2948

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Part of

Nightwater Health Inc

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul A.R. Ikemire, MD

  • General Practice Physician
  • New Orleans, LA
  • NPI 1477870210
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1407369820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WATER ST STE 4",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332456",
            "telephone_number": "603-247-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 OKEEFE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701131906",
            "telephone_number": "504-381-4204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 General Degaulle Dr",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701146222",
            "country_code": "US",
            "telephone_number": "504-372-2948",
            "fax_number": "504-226-5072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NIGHTWATER CLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NIGHTWATER HEALTH, INC",
        "enumeration_date": "2017-11-07",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "IKEMIRE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "504-372-2948",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaila Rebecca Nicolson, MD
• Laura Niditch, PH.D.
• Michelle Lisa Niemeier, PH.D., MP
• Johan Niemeyer, LCSW
• Jonathan Nierman, LCSW
• Nightwater Health of Louisiana, Inc
• Nightwater Medical Center LLC
• Vijay Nijjar, MD
• Nikki's Foundation, Inc
• Ajsa Ana Sofija Nikolic, MD

• Primary Care Clinic/Center in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.