Individual provider Active NPI

Janell M Stark, FNP

  • Family Nurse Practitioner
  • Metairie, LA
National Provider Identifier
1639365612
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP05267 Issued in LA
Practice address
3798 Veterans Memorial Blvd Ste 200
Metairie, LA 70002-5837
Phone
(504) 454-0141
NPI assigned
Sep 24, 2007
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP05267 LA Primary

Addresses

Primary practice location

3798 Veterans Memorial Blvd Ste 200
Metairie, LA 70002-5837

Mailing address

PO Box 952346
Atlanta, GA 31192-2346
Phone (504) 889-7200

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
I20071115000681 LA Practitioner - Nurse Practitioner 6103914643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Brain and SpineGroup PAC ID 6507867082, 10 clinicians

Practice addresses (Care Compare)

3798 Veterans Memorial Blvd
FL 2
Metairie, LA 70002-5837
Phone 50445401411185

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP05267LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Brain and Spine CurrentSince Aug 20, 2007 Accepting new patients

Locations

3798 Veterans Memorial Blvd
Fl 2
Metairie, LA 70002
Phone 50445401411114

3798 Veterans Memorial Blvd
Ste 200
Metairie, LA 70002
Phone (504) 454-0141

4228 Houma Blvd
Ste 510
Metairie, LA 70006
Phone (504) 454-0141

4770 S I 10 Service Rd W
Ste 110
Metairie, LA 70001
Phone (504) 210-0890

Interoperability endpoints

  • Direct secure messaging: janell.stark.1@30738.direct.athenahealth.com
  • Direct secure messaging: janelle@sbs1823.srs-direct.com

Organizations & group practices 1

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 1

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": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1639365612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 952346",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311922346",
            "telephone_number": "504-889-7200",
            "fax_number": "504-889-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3798 VETERANS MEMORIAL BLVD STE 200",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025837",
            "telephone_number": "504-454-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "JANELL",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP05267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.