Individual provider Active NPI

Laquinya Stipe, NP

  • Family Nurse Practitioner
  • Gretna, LA
National Provider Identifier
1407507494
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
223057 Issued in LA
Practice address
501 Lapalco Blvd
Gretna, LA 70056-7336
Phone
(504) 393-4376
Fax
(504) 930-4307
NPI assigned
Jan 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 223057 LA Primary

Addresses

Primary practice location

501 Lapalco Blvd
Gretna, LA 70056-7336

Mailing address

501 Lapalco Blvd
Gretna, LA 70056-7336
Phone (504) 393-4376

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221214002515 LA Practitioner - Nurse Practitioner 9436528452 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Center Management Corporation Family CurrentSince Sep 8, 2022 Accepting new patients
University Medical Center Management Corporation CurrentSince Sep 8, 2022 Accepting new patients
PMR la Holding, LLC CurrentSince May 1, 2023 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

501 Lapalco Blvd
Gretna, LA 70056
Phone (504) 393-4376

3100 Gentilly Blvd
New Orleans, LA 70122
Phone (504) 383-0599

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

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.

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1407507494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 LAPALCO BLVD",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567336",
            "telephone_number": "504-393-4376",
            "fax_number": "504-930-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 LAPALCO BLVD",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567336",
            "telephone_number": "504-393-4376",
            "fax_number": "504-930-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIPE",
        "first_name": "LAQUINYA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "223057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

Verify at the official NPI Registry.