Active NPI
Flourish Dermatology and Aesthetics
- Dermatology Physician
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- FLOURISH DERMATOLOGY AND AESTHETICS
- Practice address
- 1600 Saint Charles Ave Ste 101
New Orleans, LA 70130-4436 - Phone
- (504) 434-2319
- NPI assigned
- Jul 15, 2024
- Last updated
- Aug 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lauren Payne, MD
- Title
- Medical Doctor/Owner
- Phone
- (614) 595-4892
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
1600 Saint Charles Ave Ste 101
New Orleans, LA 70130-4436
Mailing address
317 Riggs Park PL NE
Washington, DC 20011-2580
Phone (614) 595-4892
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1600 Saint Charles Ave
Ste 101
New Orleans, LA 70130
Phone (504) 434-2319
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722988800000",
"number": "1508603606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 RIGGS PARK PL NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200112580",
"telephone_number": "614-595-4892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SAINT CHARLES AVE STE 101",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701304436",
"telephone_number": "504-434-2319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLOURISH DERMATOLOGY AND AESTHETICS",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-15",
"last_updated": "2024-08-07",
"certification_date": "2024-08-05",
"status": "A",
"authorized_official_last_name": "PAYNE",
"authorized_official_first_name": "LAUREN",
"authorized_official_title_or_position": "MEDICAL DOCTOR/OWNER",
"authorized_official_telephone_number": "614-595-4892",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.