Individual provider Active NPI

Laura Read, NP

  • Nurse Practitioner
  • Mandeville, LA
National Provider Identifier
1619431830
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
200397 Issued in LA
Practice address
201 Saint Ann Dr Ste B
Mandeville, LA 70471-3472
Phone
(985) 626-1717
NPI assigned
Jan 23, 2019
Last updated
Mar 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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 200397 LA Primary

Addresses

Primary practice location

201 Saint Ann Dr Ste B
Mandeville, LA 70471-3472

Mailing address

201 Saint Ann Dr Ste B
Mandeville, LA 70471-3472
Phone (985) 626-1717

Other identifiers 1

IdentifierTypeStateIssuer
2491938MedicaidLA

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
I20190321000164 LA Practitioner - Nurse Practitioner 1557601911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Tammany Parish Hospital Service District No 1Group PAC ID 0749273761, shared by 6 NPIs, 162 clinicians

Practice addresses (Care Compare)

201 Saint Ann Dr B
Mandeville, LA 70471-3219
Phone (985) 626-1717

82525 Hwy 25
Folsom, LA 70437-6111
Phone (985) 839-9895

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Tammany Parish Hospital Service District No 1 Single Specialty CurrentSince Sep 3, 2019 Accepting new patients
St. Tammany Parish Hospital Service District No 1 Single Specialty CurrentSince Jan 26, 2022 Accepting new patients
St. Tammany Parish Hospital Service District No 1 Single Specialty Past Accepting new patients
Neurocovery, LLC Single Specialty PastSince Aug 18, 2019 Accepting new patients

Locations

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

82525 Highway 25
Folsom, LA 70437
Phone (985) 839-9895

1520 Highway 22 W
Madisonville, LA 70447
Phone (985) 773-1600

201 Saint Ann Dr
Ste B
Mandeville, LA 70471
Phone (985) 626-1717

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1619431830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SAINT ANN DR STE B",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713472",
            "telephone_number": "985-626-1717",
            "fax_number": "985-674-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SAINT ANN DR STE B",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713472",
            "telephone_number": "985-626-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "READ",
        "first_name": "LAURA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "200397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2491938",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.