Individual provider Active NPI

Christie Marie Witherell

  • Neonatal Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1407523376
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
221362 Issued in LA
Practice address
2Oo Henry Clay Avenue
New Orleans, LA 70118
Phone
(504) 380-0409
NPI assigned
Aug 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 221362 LA Primary

Addresses

Primary practice location

2Oo Henry Clay Avenue
New Orleans, LA 70118

Mailing address

454 J J LN
Covington, LA 70433-6989
Phone (985) 774-8409

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
I20220429000283 LA Practitioner - Nurse Practitioner 9032506621 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Current Accepting new patients
Children'S Hospital Nurse Practitioner CurrentSince Jan 21, 2022 Accepting new patients
Ochsner Clinic LLC CurrentSince Feb 17, 2025 Accepting new patients
Ochsner Clinic LLC CurrentSince Feb 17, 2025 Accepting new patients
Thibodaux Regional Network Development Corporation Neonatal CurrentSince May 10, 2022 Accepting new patients
Thibodaux Regional Network Development Corporation CurrentSince May 10, 2022 Accepting new patients
Thibodaux Regional Network Development Corporation Current Accepting new patients

Locations

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

1514 Jefferson Hwy
New Orleans, LA 70121

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650

120 Ochsner Blvd
Terrytown, LA 70056
Phone (504) 391-8857

2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157

602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544

Interoperability endpoints

  • Direct secure messaging: cwitherell1442087@direct.ochsner.org

Organizations & group practices 7

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": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1407523376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 J J LN",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704336989",
            "telephone_number": "985-774-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2OO HENRY CLAY AVENUE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70118",
            "telephone_number": "504-380-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHERELL",
        "first_name": "CHRISTIE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "LA",
            "license": "221362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.