Individual provider Active NPI

James Matthew Noel, NP

  • Gerontology Nurse Practitioner
  • Covington, LA
National Provider Identifier
1467178681
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
227320 Issued in LA
Practice address
606 W 11TH Ave
Covington, LA 70433-3630
Phone
(985) 892-3766
NPI assigned
Oct 19, 2022
Last updated
Nov 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 227320 LA Primary

Addresses

Primary practice location

606 W 11TH Ave
Covington, LA 70433-3630

Mailing address

606 W 11TH Ave
Covington, LA 70433-3630
Phone (985) 892-3766

Other identifiers 1

IdentifierTypeStateIssuer
227320OtherLALICENSE

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
I20221121002584 LA Practitioner - Nurse Practitioner 2365810454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1006 S Harrison St
Cardiovascular Clinic
Covington, LA 70433-3630
Phone (985) 871-4140

1202 S Tyler St
Attention Managed Care Dept.
Covington, LA 70433-2330

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Tammany Parish Hospital Service District No 1 CurrentSince Nov 1, 2022 Accepting new patients
St. Tammany Parish Hospital Service District No 1 Current Accepting new patients
St Tammany Parish Hospital Service District No 1 CurrentSince Nov 1, 2022 Accepting new patients

Locations

606 W 11th Ave
Covington, LA 70433
Phone (504) 892-3766

606 W 11th Ave
#A
Covington, LA 70433
Phone (985) 892-3766

728 W 11th Ave
Covington, LA 70433
Phone (985) 730-7195

Organizations & group practices 3

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": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1467178681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 W 11TH AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333630",
            "telephone_number": "985-892-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 W 11TH AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333630",
            "telephone_number": "985-892-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOEL",
        "first_name": "JAMES",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "LA",
            "license": "227320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "227320",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.