Individual provider Active NPI

Felicia Ciolino Robertson, FNP

  • Family Nurse Practitioner
  • Metairie, LA
National Provider Identifier
1417486564
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP90308 Issued in LA
Practice address
3625 Houma Blvd
Metairie, LA 70006-4229
Phone
(504) 648-0270
NPI assigned
Jun 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 AP90308 LA Primary

Addresses

Primary practice location

3625 Houma Blvd
Metairie, LA 70006-4229

Mailing address

3625 Houma Blvd
Metairie, LA 70006-4229
Phone (504) 648-0270

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
I20171005000692 LA Practitioner - Nurse Practitioner 4789959446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital City Medical Group, L.L.C.Group PAC ID 8628252392, 38 clinicians

Practice addresses (Care Compare)

2633 Napoleon Ave
Suite 400
New Orleans, LA 70115-6340
Phone (504) 897-3305

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP90308LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital City Medical Group, L.L.C. CurrentSince Nov 27, 2019 Accepting new patients
Superior Healthcare, LLC CurrentSince Jan 1, 2019 Accepting new patients

Locations

131 Corporate Dr
Houma, LA 70360
Phone (985) 293-2300

3501 Severn Ave
Ste 8
Metairie, LA 70002
Phone (504) 249-8231

3625 Houma Blvd
Metairie, LA 70006
Phone (504) 648-0270

2633 Napoleon Ave
Ste 400
New Orleans, LA 70115
Phone (504) 897-3305

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1497139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1417486564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 HOUMA BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064229",
            "telephone_number": "504-648-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 HOUMA BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064229",
            "telephone_number": "504-648-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "FELICIA",
        "middle_name": "CIOLINO",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP90308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.