Individual provider Active NPI

Vonder W McNeil, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Marrero, LA
National Provider Identifier
1659502987
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN063415 AP05757 Issued in LA
Practice address
1855 Ames Blvd
Suite B
Marrero, LA 70072-3429
Phone
(504) 762-8900
NPI assigned
Aug 4, 2009
Last updated
Jul 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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 RN063415 AP05757 LA Primary

Addresses

Primary practice location

1855 Ames Blvd
Suite B
Marrero, LA 70072-3429

Mailing address

PO Box 2490
Marrero, LA 70073-2490
Phone (504) 762-8900

Other identifiers 2

IdentifierTypeStateIssuer
1806056MedicaidLA
RN063415 AP05757OtherLALA STATE BOARD OF NURSING ADVANCED PRACTICE R.N.

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
I20131218000983 LA Practitioner - Nurse Practitioner 2062681976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3932 Hwy 90 W
Avondale, LA 70094-2648
Phone (504) 436-2223

4028 Hwy 90 W
Avondale, LA 70094-2622
Phone (504) 436-2223

7001 Lapalco Blvd
Marrero, LA 70072-4503
Phone (504) 341-4006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN063415 AP05757LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Community Health Care Centers, Inc CurrentSince Sep 14, 2013 Accepting new patients
Jefferson Community Health Care Centers, Inc Current Accepting new patients
Jefferson Community Health Care Centers Inc CurrentSince Sep 14, 2013 Accepting new patients
Jefferson Community Health Care Centers, Inc Past Accepting new patients

Locations

4028 Highway 90 W
Avondale, LA 70094
Phone (504) 436-2223

2552 Williams Blvd
Kenner, LA 70062
Phone (504) 463-3002

5140 Church St
Lafitte, LA 70067
Phone (504) 689-3300

1855 Ames Blvd
#B
Marrero, LA 70072

1855 Ames Blvd
Ste B
Marrero, LA 70072
Phone (504) 371-8958

7001 Lapalco Blvd
Marrero, LA 70072
Phone (504) 341-4006

7201 Lapalco Blvd
Marrero, LA 70072
Phone (504) 437-8523

11312 Jefferson Hwy
River Ridge, LA 70123
Phone (504) 463-3364

3932 Highway 90 W
Westwego, LA 70094
Phone (504) 341-4006

Interoperability endpoints

  • Direct secure messaging: vonder.mcneil.1@12324.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1659502987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2490",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700732490",
            "telephone_number": "504-762-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 AMES BLVD",
            "address_2": "SUITE B",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723429",
            "telephone_number": "504-762-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEIL",
        "first_name": "VONDER",
        "middle_name": "W",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN063415   AP05757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1806056",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA STATE BOARD OF NURSING ADVANCED PRACTICE R.N.",
            "identifier": "RN063415   AP05757",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.