Individual provider Active NPI

Candita Rogers Thompson, NP

  • Acute Care Nurse Practitioner
  • Metairie, LA
National Provider Identifier
1558466847
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN081036 Issued in LA
Practice address
3838 N Causeway Blvd Ste 2200
Metairie, LA 70002-8306
Phone
(504) 301-7679
Fax
(504) 301-7679
NPI assigned
Sep 13, 2006
Last updated
Jan 31, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN081036 LA Primary

Addresses

Primary practice location

3838 N Causeway Blvd Ste 2200
Metairie, LA 70002-8306

Mailing address

3838 N Causeway Blvd Ste 2200
Metairie, LA 70002-8306
Phone (504) 301-7679

Other identifiers 1

IdentifierTypeStateIssuer
1628620MedicaidLA

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
I20050825000101 LA Practitioner - Nurse Practitioner 6103857651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital City Medical Group, L.L.C.Group PAC ID 8628252392, 38 clinicians

Practice addresses (Care Compare)

1215 N Broad St
New Orleans, LA 70119-3302
Phone (504) 262-1200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN081036LAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital City Medical Group, L.L.C. CurrentSince Feb 13, 2019 Accepting new patients
Cynthia Kudji LLC Past Accepting new patients
Crescent City Anesthesia Services, LLC Past Accepting new patients

Locations

131 Corporate Dr
Houma, LA 70360
Phone (985) 293-2300

3838 N Causeway Blvd
Ste 2200
Metairie, LA 70002
Phone (504) 849-4500

1215 N Broad St
New Orleans, LA 70119
Phone (504) 483-7112

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 2

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1558466847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 N CAUSEWAY BLVD STE 2200",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700028306",
            "telephone_number": "504-301-7679",
            "fax_number": "504-301-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 N CAUSEWAY BLVD STE 2200",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700028306",
            "telephone_number": "504-301-7679",
            "fax_number": "504-301-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CANDITA",
        "middle_name": "ROGERS",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "LA",
            "license": "RN081036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1628620",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.