Active NPI
Yasheka Nicholson, M.D
- Colon & Rectal Surgery Physician
- Franklinton, LA
National Provider Identifier
1669625604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 206908
- Practice address
- 809 Riverside Dr
Franklinton, LA 70438-3635 - Phone
- (985) 795-4208
- Fax
- (985) 795-4210
- NPI assigned
- Nov 3, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 247286 | NY | |
| Colon & Rectal Surgery Physician | 208C00000X | N6538 | TX | |
| Colon & Rectal Surgery Physician | 208C00000X | 206908 | LA | Primary |
Addresses
Primary practice location
809 Riverside Dr
Franklinton, LA 70438-3635
Mailing address
809 Riverside Dr
Franklinton, LA 70438-3635
Phone (985) 795-4208
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141104000094 | LA | Practitioner - General Surgery | 5799961447 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Icahn School of Medicine at Mount Sinai, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Riverside Medical Center
Practice addresses (Care Compare)
1900 Main St
Franklinton, LA 70438-3688
Phone (985) 839-4431
809 Riverside Dr
Franklinton, LA 70438-3635
Phone (985) 795-4208
Hospital & facility affiliations
- Riverside Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 247286 | NY | MD | Surgery Physician |
| 206908 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Medical Center | Current | Accepting new patients | |
| Riverside Medical Center | Current | Accepting new patients | |
| Riverside Medical Center | Surgery | Past | Accepting new patients |
Locations
1900 Main St
Sheridan, LA 70438
Phone (985) 839-4431
Organizations & group practices 7
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.
-
- Rural Health Clinic/Center
- Franklinton, LA
- NPI 1518955541
-
- Rural Health Clinic/Center
- Franklinton, LA
- NPI 1578937371
-
- Medicare Defined Swing Bed Hospital Unit
- Franklinton, LA
- NPI 1881756989
-
- Clinic/Center
- Franklinton, LA
- NPI 1710438361
Hospital & facility affiliations 6
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": "1225670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442275200000",
"number": "1669625604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 RIVERSIDE DR",
"city": "FRANKLINTON",
"state": "LA",
"postal_code": "704383635",
"telephone_number": "985-795-4208",
"fax_number": "985-795-4210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 RIVERSIDE DR",
"city": "FRANKLINTON",
"state": "LA",
"postal_code": "704383635",
"telephone_number": "985-795-4208",
"fax_number": "985-795-4210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLSON",
"first_name": "YASHEKA",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-03",
"last_updated": "2015-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "247286",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "TX",
"license": "N6538",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "LA",
"license": "206908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Franklinton, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.