Individual provider Active NPI

Travis King

  • Acute Care Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1659904407
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
22214354 Issued in LA
Practice address
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone
(866) 624-7637
NPI assigned
Feb 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 22214354 LA Primary

Addresses

Primary practice location

1514 Jefferson Hwy
New Orleans, LA 70121-2429

Mailing address

42378 Ott LN
Hammond, LA 70403-3232
Phone (985) 320-7156

Other practice location 1

1000 Ochsner Blvd
Covington, LA 70433-8107
Phone (985) 875-2828

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
I20200331003567 LA Practitioner - Nurse Practitioner 0648609339 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Oaks Medical Center LLCGroup PAC ID 2466629522, 317 clinicians

Practice addresses (Care Compare)

15813 Paul Vega MD Dr
Suite 403
Hammond, LA 70403-1426
Phone (985) 230-7350

Hospital & facility affiliations

  • Southeast Louisiana Home Health, LLC Home health agency, Covington, LA, CCN 197023
  • North Oaks Medical Center Hospital, Hammond, LA, CCN 190015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22214354LAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Mar 16, 2020 Accepting new patients
B & W Healthcare LLC CurrentSince Apr 8, 2022 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Dec 1, 2022 Accepting new patients
Ochsner Clinic LLC CurrentSince Mar 16, 2020 Accepting new patients
North Oaks Physician Group, LLC CurrentSince Dec 1, 2022 Accepting new patients

Locations

1000 Ochsner Blvd
Covington, LA 70433
Phone (985) 898-7051

15813 Paul Vega Md Dr
Ste 403
Hammond, LA 70403
Phone (985) 230-7350

15813 Paul Vega Md Dr
Ste 402
Hammond, LA 70403
Phone (985) 230-7350

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

15813 Paul Vega Md Dr
Ste 200
Hammond, LA 70403
Phone (985) 230-7650

15813 Paul Vega Md Dr
Hammond, LA 70403

1514 Jefferson Hwy
New Orleans, LA 70121

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Family Healthcare of BedicoPonchatoula, LA, CCN 193957 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer
Corporate Director
W-2 Managing Employee
Jun 30, 2022
Jun 30, 2022
Jun 30, 2022
Jun 30, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1659904407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42378 OTT LN",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704033232",
            "telephone_number": "985-320-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "866-624-7637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Ochsner Blvd",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704338107",
            "country_code": "US",
            "telephone_number": "985-875-2828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "TRAVIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "LA",
            "license": "22214354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.