Active NPI
Olufunmilayo Kwentua
- Psychiatric/Mental Health Nurse Practitioner
- Gonzales, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 227572
- Practice address
- 14219 Calice St
Gonzales, LA 70737-5972 - Phone
- (225) 803-7593
- NPI assigned
- Apr 6, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 227572 | LA | Primary |
Addresses
Primary practice location
14219 Calice St
Gonzales, LA 70737-5972
Mailing address
14219 Calice St
Gonzales, LA 70737-5972
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, LA, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Capital Area Human Services District
Practice addresses (Care Compare)
2751 Wooddale Blvd
Baton Rouge, LA 70805-7567
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Area Human Services District | Current | Accepting new patients | |
| Capital Area Human Services District | Current | Accepting new patients | |
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Victory Health Solution LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Capital Area Human Services District | Current | Accepting new patients | |
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Capital Area Human Services District | Current | Accepting new patients | |
| Capital Area Human Services District | Current | Accepting new patients | |
| Hope Therapy & Consulting Services, Inc | Past | Accepting new patients |
Locations
699 Walnut St
Ste 4
Des Moines, IA 50309
Phone (515) 278-9920
7855 Howell Blvd
Ste 200
Baton Rouge, LA 70807
Phone (225) 359-9315
2751 Wooddale Blvd
Ste A
Baton Rouge, LA 70805
Phone (225) 925-1906
1056 E Worthy St
Ste B
Gonzales, LA 70737
Phone (225) 621-5770
1 Galleria Blvd
Ste 1900
Metairie, LA 70001
Phone (504) 332-8698
Organizations & group practices 9
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baton Rouge, LA
- NPI 1174681852
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baton Rouge, LA
- NPI 1710047980
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gonzales, LA
- NPI 1730104654
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
IA, LA, Psychiatric/Mental Health
-
- Psychiatric/Mental Health Nurse Practitioner
- Mesa, AZ
- NPI 1912515305
-
- Recovery Care Clinic/Center
- Baton Rouge, LA
- NPI 1508144502
-
- Adult Medicine Physician
- Baton Rouge, LA
- NPI 1609609023
-
- Physical Therapy Clinic/Center
- Baton Rouge, LA
- NPI 1093805541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1669167672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14219 CALICE ST",
"city": "GONZALES",
"state": "LA",
"postal_code": "707375972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14219 CALICE ST",
"city": "GONZALES",
"state": "LA",
"postal_code": "707375972",
"telephone_number": "225-803-7593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWENTUA",
"first_name": "OLUFUNMILAYO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-06",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "LA",
"license": "227572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gonzales, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.