Organization Active NPI

Oceans Rog LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kenner, LA
National Provider Identifier
1619346574
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
OCEANS ROG LLC
Practice address
716 Village Rd Ste a
Kenner, LA 70065-2751
Phone
(337) 408-0797
Fax
(504) 464-8896
NPI assigned
Sep 22, 2015
Last updated
Sep 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Authorized official

Name
Mr. Stuart Archer
Title
C.E.O.
Phone
(972) 464-0022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

716 Village Rd Ste a
Kenner, LA 70065-2751

Mailing address

3905 Hedgcoxe Rd Unit 250249
Plano, TX 75025-0840
Phone (337) 408-0797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140627001707 LA Part B Supplier - Clinic/Group Practice 1355566712 Receives reassigned benefits from 17 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lake Charles, LA; Opelousas, LA; Marrero, LA; Hammond, LA; Gretna, LA; Deridder, LA; Broussard, LA; Baton Rouge, LA…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

11135 Florida Blvd
Baton Rouge, LA 70815
Phone (225) 356-7030

11546 Florida Blvd
Baton Rouge, LA 70815
Phone (225) 275-0474

420 Albertson Pkwy
Broussard, LA 70518
Phone (337) 237-6444

1400 W Magnolia Ave
Eunice, LA 70535
Phone (337) 550-7200

229 Bellemeade Blvd
Gretna, LA 70056
Phone (504) 391-2440

400 Monarch Dr
Houma, LA 70364
Phone (985) 876-5692

14008 Cheneau Rd
Kaplan, LA 70548
Phone (337) 643-1949

302 W McNeese St
Lake Charles, LA 70605
Phone (337) 210-1207

8422 Kurthwood Rd
Leesville, LA 71446
Phone (337) 239-6578

1820 W Causeway Approach
Mandeville, LA 70471
Phone (955) 626-4798

4413 Wichers Dr
Ste 101B
Marrero, LA 70072
Phone (504) 291-1317

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

5919 Magazine St
New Orleans, LA 70115
Phone (504) 452-9927

5682 Highway 107 S
Plaucheville, LA 71362
Phone (318) 922-3125

475 High Hope Rd
Sulphur, LA 70663
Phone (337) 527-8140

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1619346574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 HEDGCOXE RD UNIT 250249",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750250840",
            "telephone_number": "337-408-0797",
            "fax_number": "972-464-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 VILLAGE RD STE A",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652751",
            "telephone_number": "337-408-0797",
            "fax_number": "504-464-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANS ROG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "972-464-0022",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.