Individual provider Active NPI

Kristen Nicole Muhoberac, WHNP-BC

  • Women's Health Nurse Practitioner
  • Metairie, LA
National Provider Identifier
1568109593
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
225438 Issued in LA
Practice address
4300 Houma Blvd Ste 105
Metairie, LA 70006-2922
Phone
(504) 503-7256
Fax
(504) 503-7418
NPI assigned
May 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 225438 LA Primary

Addresses

Primary practice location

4300 Houma Blvd Ste 105
Metairie, LA 70006-2922

Mailing address

300 Jefferson Heights Ave
Jefferson, LA 70121-3224
Phone (985) 974-5327

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
I20220808000982 LA Practitioner - Nurse Practitioner 4486036423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4228 Houma Blvd
Suite 410
Metairie, LA 70006-3021
Phone (504) 883-3770

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
225438LAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Jefferson Physicians Group Urgent Care CurrentSince Sep 1, 2022 Accepting new patients
East Jefferson Physicians Group LLC CurrentSince Sep 1, 2022 Accepting new patients
Metairie Physician Services Inc. Nurse Practitioner Past Accepting new patients

Locations

301 Rue de Sante
La Place, LA 70068
Phone (985) 652-2441

4228 Houma Blvd
Ste 410B
Metairie, LA 70006
Phone (504) 883-3770

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

4228 Houma Blvd
Ste 410
Metairie, LA 70006
Phone (504) 454-0606

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

4300 Houma Blvd
Ste 105
Metairie, LA 70006
Phone (504) 454-7800

4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1568109593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 JEFFERSON HEIGHTS AVE",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701213224",
            "telephone_number": "985-974-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 HOUMA BLVD STE 105",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062922",
            "telephone_number": "504-503-7256",
            "fax_number": "504-503-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHOBERAC",
        "first_name": "KRISTEN",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "LA",
            "license": "225438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.