Active NPI
Vicki Tessitore Matherne, CNM
- Advanced Practice Midwife
- Hammond, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- AP03301
- Practice address
- 15813 Paul Vega MD Dr Ste 200
Hammond, LA 70403-1431 - Phone
- (985) 230-7650
- Fax
- (985) 230-7655
- NPI assigned
- Jan 26, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | AP03301 | LA | Primary |
| Advanced Practice Midwife | 367A00000X | RN064193 | LA |
Addresses
Primary practice location
15813 Paul Vega MD Dr Ste 200
Hammond, LA 70403-1431
Mailing address
15192 Highway 22
Ponchatoula, LA 70454-6475
Phone (985) 370-7953
Other practice location 1
15748 Medical Arts Dr
Hammond, LA 70403-1446
Phone (985) 542-0663
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1543314 | Medicaid | LA | |
| AP03301 | Other | LA | MW LICENSE |
Other names 1
- Vickie Matherne
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
104 Acadia Park Dr
Raceland, LA 70394-2618
Phone (985) 537-3211
16777 Medical Ctr Dr
Baton Rouge, LA 70816-3254
Phone (225) 754-3278
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP03301 | LA | MD | Advanced Practice Midwife |
| RN064193 | LA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Oaks Physician Group, LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| North Oaks Medical Center, LLC | Current | Accepting new patients | |
| North Oaks Physician Group, LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients |
Locations
16777 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 754-3278
15813 Paul Vega Md Dr
Ste 200
Hammond, LA 70403
Phone (985) 230-7650
15813 Paul Vega Md Dr
Hammond, LA 70403
15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682
17199 Spring Ranch Rd
Ste 10G
Livingston, LA 70754
17199 Spring Ranch Rd
Ste 210G
Livingston, LA 70754
Phone (225) 686-4960
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
Organizations & group practices 6
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.
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- General Acute Care Hospital
- Hammond, LA
- NPI 1972630705
-
- Multi-Specialty Clinic/Center
- Hammond, LA
- NPI 1427035211
-
- Urgent Care Clinic/Center
- Hammond, LA
- NPI 1144817487
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- General Practice Physician
- Bogalusa, LA
- NPI 1316477318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1659427417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15192 HIGHWAY 22",
"city": "PONCHATOULA",
"state": "LA",
"postal_code": "704546475",
"telephone_number": "985-370-7953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15813 PAUL VEGA MD DR STE 200",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031431",
"telephone_number": "985-230-7650",
"fax_number": "985-230-7655"
}
],
"practiceLocations": [
{
"address_1": "15748 Medical Arts Dr",
"address_purpose": "LOCATION",
"city": "Hammond",
"state": "LA",
"postal_code": "704031446",
"country_code": "US",
"telephone_number": "985-542-0663",
"fax_number": "985-542-0698",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHERNE",
"first_name": "VICKI",
"middle_name": "TESSITORE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "LA",
"license": "AP03301",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "LA",
"license": "RN064193",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1543314",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MW LICENSE",
"identifier": "AP03301",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VICKIE",
"last_name": "MATHERNE",
"credential": "CNM",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 9, 2025; 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.