Organization Active NPI

Sprout Pediatrics, LLC

  • Pediatrics Physician
  • Metairie, LA
National Provider Identifier
1578196804
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SPROUT PEDIATRICS, LLC
Practice address
1041 Veterans Memorial Blvd Ste 300
Metairie, LA 70005-2848
Phone
(504) 267-9336
Fax
(504) 267-9337
NPI assigned
Feb 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Authorized official

Name
Dr. Lauren Malus Hernandez, MDNPI 1194024083
Title
Doctor
Phone
(504) 338-6718

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1041 Veterans Memorial Blvd Ste 300
Metairie, LA 70005-2848

Mailing address

1041 Veterans Memorial Blvd Ste 300
Metairie, LA 70005-2848
Phone (504) 267-9336

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2181511Sprout Pediatrics1041 Veterans Blvd, Suite 300, Metairie, LA 70005Certificate of waiverApr 6, 2028

National Provider Directory

National Provider Directory

Locations

1041 Veterans Memorial Blvd
#300
Metairie, LA 70005
Phone (504) 267-9336

Practitioners & affiliated clinicians

Practitioners 9

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": "1581638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590969600000",
    "number": "1578196804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 VETERANS MEMORIAL BLVD STE 300",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700052848",
            "telephone_number": "504-267-9336",
            "fax_number": "504-267-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 VETERANS MEMORIAL BLVD STE 300",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700052848",
            "telephone_number": "504-267-9336",
            "fax_number": "504-267-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUT PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "MALUS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "504-338-6718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.