Active NPI
Jennifer O'Sullivan, MD
- Pediatrics Physician
- Harvey, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 305136
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03232771 | Medicaid | MS | |
| 2458183 | Medicaid | LA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19346 | MS | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marillac Community Health Centers | Current | Accepting new patients | |
| Marillac Community Health Centers | Current | Accepting new patients | |
| Childrens Hospital Medical Practice Corporation | Pediatrics | Current | Accepting new patients |
| Marillac Community Health Centers | Current | 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.
-
- Pediatrics Physician
- New Orleans, LA
- NPI 1821090713
-
- Primary Care Clinic/Center
- Metairie, LA
- NPI 1396059796
-
- Clinic/Center
- New Orleans, LA
- NPI 1043663214
-
- Federally Qualified Health Center (FQHC)
- Hammond, LA
- NPI 1578442505
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.