Active NPI
Carol Michele Alyea, RN MSN FNP
- Family Nurse Practitioner
- Hammond, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP08080
- Practice address
- 15790 Paul Vega MD Dr
Hammond, LA 70403-1436 - Phone
- (985) 230-1683
- Fax
- (985) 230-6652
- NPI assigned
- Aug 16, 2005
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP08080 | LA | Primary |
Addresses
Primary practice location
15790 Paul Vega MD Dr
Hammond, LA 70403-1436
Mailing address
2103 Gause Blvd E
Slidell, LA 70461-4229
Phone (985) 643-5743
Other practice location 1
2103 Gause Blvd E
Slidell, LA 70461-4229
Phone (985) 643-5743
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2427610 | Medicaid | LA | |
| 1629060744 | Medicaid | LA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150730013091 | LA | Practitioner - Nurse Practitioner | 3678500600 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Access Health Louisiana
Practice addresses (Care Compare)
2807 S Columbia St
Bogalusa, LA 70427-7915
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP08080 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Medical Group PLLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Access Health Louisiana | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Current | Accepting new patients | |
| Access Health Louisiana | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| South Central Physicians PLLC | Family | Current | Accepting new patients |
| I-Med | Past | Accepting new patients | |
| Access Health Louisiana | Past | Accepting new patients |
Locations
8200 Highway 23
Belle Chasse, LA 70037
Phone (504) 398-1100
2807 S Columbia St
Bogalusa, LA 70427
Phone (985) 730-7310
8050 W Judge Perez Dr
Ste 1300
Chalmette, LA 70043
Phone (504) 281-2800
600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100
42351 Phyllis Ann Dr
Hammond, LA 70403
Phone (985) 956-7406
165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435
671 W Esplanade Ave
Kenner, LA 70065
Phone (504) 412-1700
843 Milling Ave
Luling, LA 70070
Phone (985) 785-5800
1514 Jefferson Hwy
New Orleans, LA 70121
16004 River Rd
Norco, LA 70079
Phone (985) 725-9330
1850 Gause Blvd E
Ste 202
Slidell, LA 70461
Phone (985) 639-3718
1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200
1150 Robert Blvd
Ste 190
Slidell, LA 70458
Phone (985) 646-4415
501 Robert Blvd
Slidell, LA 70458
Phone (504) 757-3712
9372 Highway 165 S
Woodworth, LA 71485
Phone (318) 484-9588
Interoperability endpoints
- carol.alyea.1@11331.direct.athenahealth.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Marrero, LA
- NPI 1255226429
-
- General Practice Physician
- Metairie, LA
- NPI 1710340468
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
-
- Federally Qualified Health Center (FQHC)
- Kenner, LA
- NPI 1417999327
-
- Multi-Specialty Clinic/Center
- Corpus Christi, TX
- NPI 1770971434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649030400000",
"number": "1629060744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2103 GAUSE BLVD E",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704614229",
"telephone_number": "985-643-5743",
"fax_number": "337-494-2928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15790 PAUL VEGA MD DR",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031436",
"telephone_number": "985-230-1683",
"fax_number": "985-230-6652"
}
],
"practiceLocations": [
{
"address_1": "2103 Gause Blvd E",
"address_purpose": "LOCATION",
"city": "Slidell",
"state": "LA",
"postal_code": "704614229",
"country_code": "US",
"telephone_number": "985-643-5743",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALYEA",
"first_name": "CAROL",
"middle_name": "MICHELE",
"credential": "RN MSN FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-16",
"last_updated": "2022-04-04",
"certification_date": "2022-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP08080",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2427610",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629060744",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.