Individual provider Active NPI

Laura Selman, FNP-C

  • Family Nurse Practitioner
  • Mandeville, LA
National Provider Identifier
1437780608
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
211553 Issued in LA
Practice address
800 N Causeway Blvd Ste 2C
Mandeville, LA 70448-4664
Phone
(985) 892-7621
Fax
(985) 892-9245
NPI assigned
Jan 27, 2020
Last updated
Jan 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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 211553 LA Primary

Addresses

Primary practice location

800 N Causeway Blvd Ste 2C
Mandeville, LA 70448-4664

Mailing address

PO Box 226
Monticello, MS 39654-0226
Phone (601) 754-1033

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
I20220106002069 LA Practitioner - Nurse Practitioner 1951792696 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Soine Medical Enterprises, LLCGroup PAC ID 0840434205, 10 clinicians

Practice addresses (Care Compare)

1441 Ochsner Blvd
Covington, LA 70433-8110
Phone (985) 400-5551

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Dermatology of Ponchatoula, LLC CurrentSince Nov 1, 2021 Accepting new patients
New Fino LLC CurrentSince Nov 21, 2021 Accepting new patients
Soine Medical Enterprises, LLC CurrentSince Aug 1, 2022 Accepting new patients
The Fertility Institute of New Orleans PastSince Feb 2, 2020 Accepting new patients

Locations

1441 Ochsner Blvd
Covington, LA 70433
Phone (985) 363-8254

42421 Pelican Professional Park
Hammond, LA 70403
Phone (985) 400-5551

800 N Causeway Blvd
Ste 2C
Mandeville, LA 70448
Phone (985) 892-7621

180 N 5th St
Ponchatoula, LA 70454
Phone (985) 370-7546

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1437780608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 226",
            "city": "MONTICELLO",
            "state": "MS",
            "postal_code": "396540226",
            "telephone_number": "601-754-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N CAUSEWAY BLVD STE 2C",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704484664",
            "telephone_number": "985-892-7621",
            "fax_number": "985-892-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELMAN",
        "first_name": "LAURA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "211553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.