Active NPI
Nicole Mick
- Primary Care Nurse Practitioner
- Slidell, LA
National Provider Identifier
1619801446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 246052
- Practice address
- 2375 Gause Blvd E
Slidell, LA 70461-4142 - Phone
- (985) 645-9000
- NPI assigned
- Jun 9, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 246052 | LA | Primary |
Addresses
Primary practice location
2375 Gause Blvd E
Slidell, LA 70461-4142
Mailing address
111 Harrow Dr
Slidell, LA 70461-3933
Phone (985) 290-4025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1619801446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 HARROW DR",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704613933",
"telephone_number": "985-290-4025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2375 GAUSE BLVD E",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704614142",
"telephone_number": "985-645-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICK",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-09",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "LA",
"license": "246052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Slidell, LA
- Rand Sebastian Metoyer, M.D.
- Portia Meyers
- Michael Francis, M.D. (a Professional Medical Corporation) (Integrative Pain Medicine Center)
- Michael K Weil, MD, Apmc
- Scott Thomas Michaelson, D.O.
- Midwife Grace, LLC (Grace Midwifery Collective)
- Milestones Counseling & Consulting, LLC
- Sydney Miley, APRN, FNP-C
- Miller Family Medicine, LLC
- Rashunda Miller Reed, LPC, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.