Individual provider Active NPI

Elaine V Harmon, NURSE PRACTITIONER

  • Nurse Practitioner
  • Kenner, LA
National Provider Identifier
1619189891
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP04227 Issued in LA
Practice address
200 W Esplanade Ave
#103
Kenner, LA 70065
Phone
(504) 464-8712
Fax
(504) 464-8711
NPI assigned
May 3, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP04227 LA Primary

Addresses

Primary practice location

200 W Esplanade Ave
#103
Kenner, LA 70065

Mailing address

200 W Esplanade Ave
#103
Kenner, LA 70065
Phone (504) 464-8712

Other identifiers 3

IdentifierTypeStateIssuer
RN082473OtherLANPL
AP04227OtherLANPL
1945714MedicaidLA

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
I20040726000002 LA Practitioner - Nurse Practitioner 6800876251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Counsultants LLCGroup PAC ID 1355320599, 4 clinicians

Practice addresses (Care Compare)

200 W Esplanade Ave
Suite 305
Kenner, LA 70065-2474
Phone (504) 464-8712

2880 W Airline Hwy
La Place, LA 70068-2922
Phone (504) 464-8712

Merit-based Incentive Payment System (MIPS)

Final score
99.57 of 100Reported as group
Quality
99.16
Promoting interoperability
92
Improvement activities
40
Cost
72.72

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Counsultants LLC CurrentSince Jan 20, 2011 Accepting new patients
Wellness Institute of Nephrology, LLC (Win) PastSince May 16, 2022 Accepting new patients

Locations

200 W Esplanade Ave
Ste 103
Kenner, LA 70065
Phone (504) 464-8702

200 W Esplanade Ave
Ste 305
Kenner, LA 70065
Phone (504) 464-8712

Organizations & group practices 2

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619189891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ESPLANADE AVE",
            "address_2": "#103",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "70065",
            "telephone_number": "504-464-8712",
            "fax_number": "504-464-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ESPLANADE AVE",
            "address_2": "#103",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "70065",
            "telephone_number": "504-464-8712",
            "fax_number": "504-464-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "ELAINE",
        "middle_name": "V",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP04227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPL",
            "identifier": "RN082473",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPL",
            "identifier": "AP04227",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1945714",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

Verify at the official NPI Registry.