Individual provider Active NPI

Beth Carriere Sullivan, FNP

  • Family Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1427280726
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP05897 Issued in LA
Practice address
1525 Dickory Ave
New Orleans, LA 70123-2168
Phone
(504) 818-0006
Fax
(504) 818-0095
NPI assigned
Aug 20, 2009
Last updated
Aug 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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 AP05897 LA Primary

Addresses

Primary practice location

1525 Dickory Ave
New Orleans, LA 70123-2168

Mailing address

1330 Carrollton Ave
Metairie, LA 70005-1861
Phone (504) 834-1884

Other names 1

  • Beth Carriere Kingsmill Former name

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
I20091028000783 LA Practitioner - Nurse Practitioner 6800933565 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pelican State Industrial Medicine Inc ApmcGroup PAC ID 4284613613, 5 clinicians
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians
Hospital Service District No. 1 of Plaquemines ParishGroup PAC ID 4082715008, 10 clinicians

Practice addresses (Care Compare)

1525 Dickory Ave
Harahan, LA 70123-2168
Phone (504) 818-0006

2215 Veterans Memorial Blvd
Metairie, LA 70002-6322
Phone (504) 838-3524

8712 Hwy 23
Belle Chasse, LA 70037-2228
Phone (504) 226-2550

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lsu Health Sciences Center Shreveport Faculty Group Practice CurrentSince Oct 26, 2020 Accepting new patients
Ochsner Clinic LLC CurrentSince Jul 1, 2019 Accepting new patients
LCMC Urgent Care LLC CurrentSince Oct 10, 2022 Accepting new patients
Hospital Service District No. 1 of Plaquemines Parish CurrentSince Mar 23, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince Jul 1, 2019 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
University Health Shreveport LLC Nurse Practitioner CurrentSince Oct 26, 2020 Accepting new patients
Pelican State Industrial Medicine Inc Apmc CurrentSince Sep 15, 2009 Accepting new patients
The Family Asthma, Allergy and Immunology Clinic PastSince Sep 15, 2009 Accepting new patients

Locations

8712 Highway 23
Belle Chasse, LA 70037
Phone (504) 226-2550

2215 Veterans Memorial Blvd
Metairie, LA 70002
Phone (504) 838-3524

1401 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 842-4747

1514 Jefferson Hwy
New Orleans, LA 70121

1525 Dickory Ave
New Orleans, LA 70123
Phone (504) 818-0006

4100 Canal St
New Orleans, LA 70119
Phone (504) 218-4853

27136 Highway 23
Port Sulphur, LA 70083
Phone (504) 392-7000

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

2600 Belle Chasse Hwy
Ste B2
Terrytown, LA 70056
Phone (504) 309-7108

318 N Canal Blvd
Thibodaux, LA 70301
Phone (985) 446-3276

Interoperability endpoints

  • Direct secure messaging: bsullivan794822@direct.ochsner.org

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1427280726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 CARROLLTON AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700051861",
            "telephone_number": "504-834-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 DICKORY AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701232168",
            "telephone_number": "504-818-0006",
            "fax_number": "504-818-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "BETH",
        "middle_name": "CARRIERE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP05897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "KINGSMILL",
            "middle_name": "CARRIERE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.