Individual provider Active NPI

Colleen Frantz Bodet, MN, RN, FNP

  • Family Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1447258744
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN056352 AP04063 Issued in LA
Practice address
5625 Loyola Ave
New Orleans, LA 70115-5014
Phone
(504) 359-1131
Fax
(504) 861-1780
NPI assigned
Jul 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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 RN056352 AP04063 LA Primary

Addresses

Primary practice location

5625 Loyola Ave
New Orleans, LA 70115-5014

Mailing address

1921 Peniston St
New Orleans, LA 70115-5355
Phone (504) 897-1614

Other identifiers 1

IdentifierTypeStateIssuer
1153842MedicaidLA

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
I20160629002367 LA Practitioner - Nurse Practitioner 4587956172 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN056352 AP04063LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana State University School of Med in New Orleans Faculty Grou CurrentSince May 1, 2019 Accepting new patients
Childrens Hospital Medical Practice Corporation Family CurrentSince Jan 22, 2022 Accepting new patients
Children's Hospital CurrentSince May 18, 2016 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jul 1, 2017 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jul 1, 2017 Accepting new patients
Children's Hospital CurrentSince May 18, 2016 Accepting new patients

Locations

5825 Airline Hwy
Baton Rouge, LA 70805
Phone (225) 358-1000

141 Ormond Center Ct
Destrehan, LA 70047
Phone (985) 764-7337

3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880

4545 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 896-9822

5712 S Claiborne Ave
New Orleans, LA 70125
Phone (504) 324-7500

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

2011 Bienville St
New Orleans, LA 70112
Phone (504) 909-6275

5625 Loyola Ave
New Orleans, LA 70115
Phone (504) 359-1131

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHAFAA/Endpoint/GHAFAA

Organizations & group practices 6

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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1447258744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 PENISTON ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701155355",
            "telephone_number": "504-897-1614",
            "fax_number": "504-309-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 LOYOLA AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701155014",
            "telephone_number": "504-359-1131",
            "fax_number": "504-861-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODET",
        "first_name": "COLLEEN",
        "middle_name": "FRANTZ",
        "name_prefix": "Ms.",
        "credential": "MN, RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN056352 AP04063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1153842",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.