Individual provider Active NPI

Misty Danielle Martin, FNP

  • Family Nurse Practitioner
  • Covington, LA
National Provider Identifier
1427763085
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
229218 Issued in LA
Practice address
900 Ochsner Blvd
Covington, LA 70433-8275
Phone
(985) 249-2383
NPI assigned
Jan 18, 2023
Last updated
Nov 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 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 229218 LA Primary

Addresses

Primary practice location

900 Ochsner Blvd
Covington, LA 70433-8275

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

Other practice location 1

219 S Border Dr
Bogalusa, LA 70427-3671
Phone (985) 633-1952

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
I20230308003294 LA Practitioner - Nurse Practitioner 2769855923 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1202 S Tyler St
Covington, LA 70433-2330
Phone (985) 898-3743

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
229218LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Nov 30, 2023 Accepting new patients
St Tammany Parish Hospital Service District No 1 CurrentSince Jan 1, 2025 Accepting new patients
Ochsner Clinic LLC CurrentSince Nov 30, 2023 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
St. Tammany Parish Hospital Service District No 1 CurrentSince Jan 1, 2025 Accepting new patients
Van Meter Emergency Physicians Inc. Apmc CurrentSince Sep 1, 2023 Accepting new patients
Collective Rural Healthcare System LLC CurrentSince Sep 1, 2023 Accepting new patients
Louisiana Health Care Practitioners LLC PastSince Sep 1, 2023 Accepting new patients

Locations

1000 Ochsner Blvd
Covington, LA 70433
Phone (985) 898-7051

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

900 Ochsner Blvd
Covington, LA 70433
Phone (985) 249-2383

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

4855 Highway 10
Ste C
Elizabeth, LA 70638
Phone (318) 634-5600

52579 Highway 51 S
Independence, LA 70443
Phone (985) 878-1349

1514 Jefferson Hwy
New Orleans, LA 70121

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

Interoperability endpoints

  • Direct secure messaging: misty.martin.1@27423.direct.athenahealth.com
  • Direct secure messaging: mmartin2028340@direct.ochsner.org

Organizations & group practices 8

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 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": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1427763085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 OCHSNER BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338275",
            "telephone_number": "985-249-2383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 S Border Dr",
            "address_purpose": "LOCATION",
            "city": "Bogalusa",
            "state": "LA",
            "postal_code": "704273671",
            "country_code": "US",
            "telephone_number": "985-633-1952",
            "fax_number": "985-732-4458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MISTY",
        "middle_name": "DANIELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "229218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.