Blake Randall Lavespere, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

4315 Houma Blvd Ste 401
Metairie, LA 70006-2941

Phone

(504) 702-3000

Fax

(504) 889-5451

NPI assigned

Jun 4, 2019

Last updated

Mar 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Douglas Mehaffie MD LLCGroup PAC ID 7012048697, 18 clinicians

Kenner Emergency Group LLCGroup PAC ID 8426011230, 52 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Kenner Emergency Group LLC

  • Emergency Medicine Physician
  • Kenner, LA
  • NPI 1013986546
  Medicare reassignment Care Compare group NPD
• Dr Douglas Mehaffie MD LLC

  dba The Urgent Care

  • Urgent Care Clinic/Center
  • Gretna, LA
  • NPI 1669409199
  Medicare reassignment Care Compare group
• Belle Chasse Emergency Group LLC

  • Emergency Medicine Physician
  • New Orleans, LA
  • NPI 1851714075

  Physician Assistant

  Medicare reassignment NPD
• University Medical Center Management Corporation

  dba University Medical Center New Orleans

  • Family Medicine Physician
  • New Orleans, LA
  • NPI 1083655567

  Physician Assistant

  Medicare reassignment NPD
• Dr. Hickham and Associates a.P.M.C.

  dba ENT Specialists of Metairie

  • Otolaryngology Physician
  • Metairie, LA
  • NPI 1124072376
  Medicare reassignment
• New Orleans Physician Services Inc

  • Internal Medicine Physician
  • Marrero, LA
  • NPI 1396169678
  Medicare reassignment

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1457919409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 CLERMONT DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701224811",
            "telephone_number": "318-623-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 HOUMA BLVD STE 401",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062941",
            "telephone_number": "504-702-3000",
            "fax_number": "504-889-5451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W Robert E Lee Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701242418",
            "country_code": "US",
            "telephone_number": "504-822-9456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVESPERE",
        "first_name": "BLAKE",
        "middle_name": "RANDALL",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Laurent
• Lindsey Peyton Lauricella
• Timie R Lavalette
• Dana Lavarine
• Melissa J. Lavender, APRN
• Brittany Lavigne
• Cassie Henderson Lavigne, APRN-NNP-BC
• Amanda Laville, LMT
• Antionette Lavine
• Annabeth Lawrence

• Physician Assistant in Metairie, LA
• Providers in Metairie, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.