Individual provider Active NPI

Vicki Tessitore Matherne, CNM

  • Advanced Practice Midwife
  • Hammond, LA
National Provider Identifier
1659427417
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP03301 Issued in LA
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

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1543314MedicaidLA
AP03301OtherLAMW LICENSE

Other names 1

  • Vickie Matherne Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180213002968 LA Practitioner - Certified Nurse Midwife (CNM) 0446510366 Reassigns benefits to 3 organizations

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
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

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

LicenseStateTypeSpecialty
AP03301LAMDAdvanced Practice Midwife
RN064193LAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
North Oaks Physician Group, LLC CurrentSince Sep 2, 2025 Accepting new patients
Ochsner Clinic LLC CurrentSince Feb 26, 2018 Accepting new patients
Ochsner Clinic LLC CurrentSince Feb 26, 2018 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Sep 2, 2025 Accepting new patients
North Oaks Physician Group, LLC CurrentSince Sep 2, 2025 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.

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

Verify at the official NPI Registry.