Individual provider Active NPI

Jennifer Coleen Creedon, M.D.

  • Psychiatry Physician
  • New Orleans, LA
National Provider Identifier
1598081879
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD207185 Issued in LA
Practice address
2021 Perdido St FL 6
New Orleans, LA 70112-1352
Phone
(504) 568-7646
NPI assigned
Apr 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X MD207185 LA
Child & Adolescent Psychiatry Physician 2084P0804X MD207185 LA
Psychiatry Physician 2084P0800X MD207185 LA Primary

Addresses

Primary practice location

2021 Perdido St FL 6
New Orleans, LA 70112-1352

Mailing address

820 Mazant St
New Orleans, LA 70117-5436
Phone (047) 156-7305

Other practice location 1

2003 Tulane Ave
Suite A
New Orleans, LA 70112
Phone (504) 896-6016

Other practice location 2

2475 Canal St Ste 106
New Orleans, LA 70119-6549
Phone (504) 962-7020

Other practice location 3

210 State St
New Orleans, LA 70118-5735
Phone (504) 896-7790

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161219001175 LA Practitioner - Psychiatry 8628223385 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Tulane University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Henry Clay Ave
New Orleans, LA 70118-5720
Phone (504) 412-1860

2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000

2475 Canal St
Suite 106
New Orleans, LA 70119-6549
Phone (504) 962-7020

2832 Burdette St
New Orleans, LA 70125-2514
Phone (504) 866-2741

Hospital & facility affiliations

  • University Medical Center New Orleans Hospital, New Orleans, LA, CCN 190005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD207185LAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Feb 22, 2022 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jan 1, 2020 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jan 1, 2020 Accepting new patients
Ochsner Clinic LLC CurrentSince Feb 22, 2022 Accepting new patients
Louisiana State University School of Med in New Orleans Faculty Grou CurrentSince Jan 1, 2020 Accepting new patients
Healthy Avenues Medical Group LLC Past Accepting new patients
University Medical Center Management Corporation Past Accepting new patients

Locations

10310 The Grove Blvd
Baton Rouge, LA 70836
Phone (225) 761-5239

1514 Jefferson Hwy
New Orleans, LA 70121

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

1221 S Clearview Pkwy
New Orleans, LA 70121
Phone (504) 736-4600

210 State St
Bldg 10
New Orleans, LA 70118
Phone (504) 896-7200

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

478 S Johnson St
Fl 7
New Orleans, LA 70112
Phone (504) 383-5060

2475 Canal St
Ste 106
New Orleans, LA 70119
Phone (504) 962-7020

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

2021 Perdido St
Fl 6
New Orleans, LA 70112
Phone (504) 568-4084

210 State St
New Orleans, LA 70118
Phone (504) 896-7200

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

Interoperability endpoints

  • Direct secure messaging: jcreedon689994@direct.ochsner.org

Organizations & group practices 8

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 1

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": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1598081879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 MAZANT ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701175436",
            "telephone_number": "047-156-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 PERDIDO ST FL 6",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121352",
            "telephone_number": "504-568-7646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 Tulane Ave",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "70112",
            "country_code": "US",
            "telephone_number": "504-896-6016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2475 Canal St Ste 106",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701196549",
            "country_code": "US",
            "telephone_number": "504-962-7020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 State St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701185735",
            "country_code": "US",
            "telephone_number": "504-896-7790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CREEDON",
        "first_name": "JENNIFER",
        "middle_name": "COLEEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-12",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "LA",
            "license": "MD207185",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "LA",
            "license": "MD207185",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "MD207185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.