Individual provider Active NPI

Emily Grace St. Romain

  • Pediatric Nurse Practitioner
  • Saint Francisville, LA
National Provider Identifier
1669368767
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
237544 Issued in LA
Practice address
12170 Fairview Way
Saint Francisville, LA 70775-7462
Phone
(225) 362-7950
NPI assigned
Jun 16, 2025
Last updated
Feb 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 237544 LA Primary

Addresses

Primary practice location

12170 Fairview Way
Saint Francisville, LA 70775-7462

Mailing address

12170 Fairview Way
Saint Francisville, LA 70775-7462

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
I20260223003193 LA Practitioner - Nurse Practitioner 0840771341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1214 L Guerre Cir
New Orleans, LA 70117-1359

3333 Saint Claude Ave
New Orleans, LA 70117-6142

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237544LAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Eleven Louisiana LLC CurrentSince Mar 9, 2026 Accepting new patients

Organizations & group practices 1

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": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1669368767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12170 FAIRVIEW WAY",
            "city": "SAINT FRANCISVILLE",
            "state": "LA",
            "postal_code": "707757462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12170 FAIRVIEW WAY",
            "city": "SAINT FRANCISVILLE",
            "state": "LA",
            "postal_code": "707757462",
            "telephone_number": "225-362-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. ROMAIN",
        "first_name": "EMILY",
        "middle_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "237544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Francisville, LA

Sources for this page

Verify at the official NPI Registry.