Organization Active NPI

Oh Project- Southshore

Doing business as Ohana Healthcare

  • Psychiatric/Mental Health Nurse Practitioner
  • Mandeville, LA
National Provider Identifier
1508335910
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
OH PROJECT- SOUTHSHORE
Doing business as
Ohana Healthcare
Practice address
23515 U.S. 190
Northlake Academy Building
Mandeville, LA 70447
Phone
(985) 276-3040
NPI assigned
Nov 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Authorized official

Name
Sequilla Carter
Title
Owner
Phone
(504) 450-6769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

23515 U.S. 190
Northlake Academy Building
Mandeville, LA 70447

Mailing address

PO Box 957
Madisonville, LA 70447-0957

Other names 1

  • Ohana Healthcare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1508335910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 957",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704470957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23515 U.S. 190",
            "address_2": "NORTHLAKE ACADEMY BUILDING",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70447",
            "telephone_number": "985-276-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OH PROJECT- SOUTHSHORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "SEQUILLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-450-6769"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ohana Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.