Individual provider Active NPI

Joan Cooper-Rainey, APRN-CNP

  • Family Nurse Practitioner
  • Marrero, LA
National Provider Identifier
1598474157
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
228034 Issued in LA
Practice address
1111 Medical Center Blvd Ste N809
Marrero, LA 70072-3173
Phone
(504) 289-4420
NPI assigned
Nov 22, 2022
Last updated
Nov 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 228034 LA Primary

Addresses

Primary practice location

1111 Medical Center Blvd Ste N809
Marrero, LA 70072-3173

Mailing address

119 Hardwood Dr
Belle Chasse, LA 70037-1727
Phone (504) 289-4420

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
I20230123000653 LA Practitioner - Nurse Practitioner 2264803642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7001 Lapalco Blvd
Marrero, LA 70072-4503
Phone (504) 341-4006

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Community Health Care Centers, Inc CurrentSince Jan 9, 2023 Accepting new patients
Jefferson Community Health Care Centers, Inc CurrentSince Jan 9, 2023 Accepting new patients
Jefferson Community Health Care Centers, Inc Current Accepting new patients
Jefferson Community Health Care Centers, Inc Past Accepting new patients
Jefferson Community Health Care Centers, Inc. Past Accepting new patients

Locations

4028 Highway 90 W
Avondale, LA 70094
Phone (504) 436-2223

2552 Williams Blvd
Kenner, LA 70062
Phone (504) 463-3002

5140 Church St
Lafitte, LA 70067
Phone (504) 689-3300

7001 Lapalco Blvd
Marrero, LA 70072
Phone (504) 341-4006

3932 Highway 90 W
Westwego, LA 70094
Phone (504) 341-4006

Interoperability endpoints

  • Direct secure messaging: joan.rainey.1@12324.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1598474157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 HARDWOOD DR",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700371727",
            "telephone_number": "504-289-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD STE N809",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723173",
            "telephone_number": "504-289-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER-RAINEY",
        "first_name": "JOAN",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "228034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.