Individual provider Active NPI

Mary Hulin, MD

  • Pediatrics Physician
  • River Ridge, LA
National Provider Identifier
1679993257
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
306560 Issued in LA
Practice address
9605 Jefferson Hwy Ste E
River Ridge, LA 70123-2550
Phone
(504) 738-1604
Fax
(504) 738-7860
NPI assigned
Apr 22, 2014
Last updated
Oct 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 306560 LA Primary

Addresses

Primary practice location

9605 Jefferson Hwy Ste E
River Ridge, LA 70123-2550

Mailing address

9605 Jefferson Hwy Ste E
River Ridge, LA 70123-2550
Phone (504) 738-1604

Other practice location 1

2840 W Airline Hwy Ste D
LA Place, LA 70068-2952
Phone (985) 479-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210803003468 MS Practitioner - Pediatric Medicine 5496184194 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
306560LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Mississippi, LLC CurrentSince Jun 30, 2021 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Jun 30, 2021 Accepting new patients
Ochsner Mississippi, LLC Current Accepting new patients

Locations

1514 Jefferson Hwy
New Orleans, LA 70121

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

Organizations & group practices 3

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": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1679993257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9605 JEFFERSON HWY STE E",
            "city": "RIVER RIDGE",
            "state": "LA",
            "postal_code": "701232550",
            "telephone_number": "504-738-1604",
            "fax_number": "504-738-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9605 JEFFERSON HWY STE E",
            "city": "RIVER RIDGE",
            "state": "LA",
            "postal_code": "701232550",
            "telephone_number": "504-738-1604",
            "fax_number": "504-738-7860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2840 W Airline Hwy Ste D",
            "address_purpose": "LOCATION",
            "city": "LA Place",
            "state": "LA",
            "postal_code": "700682952",
            "country_code": "US",
            "telephone_number": "985-479-7300",
            "fax_number": "985-479-7301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULIN",
        "first_name": "MARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "306560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Ridge, LA

Sources for this page

Verify at the official NPI Registry.