Active NPI
Jennifer Coleen Creedon, M.D.
- Psychiatry Physician
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD207185
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD207185 | LA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Louisiana State University School of Med in New Orleans Faculty Grou | Current | 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
- 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.
-
- Pediatrics Physician
- New Orleans, LA
- NPI 1932492626
-
- Multi-Specialty Clinic/Center
- New Orleans, LA
- NPI 1477582526
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Durable Medical Equipment & Medical Supplies
- Kenner, LA
- NPI 1316417629
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- Cardiovascular Disease Physician
- Slidell, LA
- NPI 1245858828
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Orleans, LA
- NPI 1659093847
-
- Psychiatric Hospital Unit
- New Orleans, LA
- NPI 1144261728
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1568403111
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.