Individual provider Active NPI

Jennifer O'Sullivan, MD

  • Pediatrics Physician
  • Harvey, LA
National Provider Identifier
1487731204
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
305136 Issued in LA
Practice address
1629 Westbank Expy Ste a
Harvey, LA 70058-4364
Phone
(504) 582-0715
Fax
(504) 582-0716
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 305136 LA Primary
Pediatrics Physician 208000000X 19346 MS

Addresses

Primary practice location

1629 Westbank Expy Ste a
Harvey, LA 70058-4364

Mailing address

2712 Esplanade Ave
New Orleans, LA 70119-3333
Phone (601) 955-3614

Other identifiers 2

IdentifierTypeStateIssuer
03232771MedicaidMS
2458183MedicaidLA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240923002247 LA Practitioner - Pediatric Medicine 3173064730 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19346MSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marillac Community Health Centers CurrentSince Oct 20, 2025 Accepting new patients
Marillac Community Health Centers Current Accepting new patients
Childrens Hospital Medical Practice Corporation Pediatrics CurrentSince Jul 8, 2024 Accepting new patients
Marillac Community Health Centers CurrentSince Oct 20, 2025 Accepting new patients

Locations

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

1629 Westbank Expy
Ste A
Harvey, LA 70058
Phone (504) 582-0715

3715 Williams Blvd
Ste 220
Kenner, LA 70065
Phone (504) 468-4437

829 Barataria Blvd
Marrero, LA 70072
Phone (504) 347-4537

111 N Causeway Blvd
Metairie, LA 70001
Phone (504) 482-0084

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

3116 6th St
Ste 101
Metairie, LA 70002
Phone (504) 837-9000

3201 S Carrollton Ave
New Orleans, LA 70118
Phone (504) 207-3019

1030 Lesseps St
New Orleans, LA 70117
Phone (504) 207-6287

1100 Poydras St
Ste 2500
New Orleans, LA 70163
Phone (504) 527-9953

2801 General Degaulle Dr
Ste A
New Orleans, LA 70114
Phone (504) 362-8930

3303 Higgins Blvd
New Orleans, LA 70126
Phone (504) 948-2873

100 Warrington Dr
New Orleans, LA 70122
Phone (504) 667-4300

5630 Read Blvd
Ste B
New Orleans, LA 70127

3712 MacArthur Blvd
New Orleans, LA 70114
Phone (504) 366-5032

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1487731204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 ESPLANADE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701193333",
            "telephone_number": "601-955-3614",
            "fax_number": "504-264-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 WESTBANK EXPY STE A",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700584364",
            "telephone_number": "504-582-0715",
            "fax_number": "504-582-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SULLIVAN",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "305136",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "19346",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03232771",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2458183",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

Verify at the official NPI Registry.