Calli Bodin, APRN, NNP-BC

Primary specialty

Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X

License

AP09029 Issued in LA

Practice address

200 Henry Clay Ave
New Orleans, LA 70118-5720

Phone

(504) 896-9431

NPI assigned

Dec 22, 2016

Last updated

Dec 22, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Children's Hospital

  dba Manning Family Children's - Physician Billing

  • Specialist
  • New Orleans, LA
  • NPI 1306156138
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1689119919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 LAKE LYNN DR",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700568338",
            "telephone_number": "504-232-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HENRY CLAY AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701185720",
            "telephone_number": "504-896-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODIN",
        "first_name": "CALLI",
        "name_prefix": "Ms.",
        "credential": "APRN, NNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-22",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "LA",
            "license": "AP09029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHNOLA",
            "identifier": "1104819366",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Bode, LCSW
• Victoria Erin Bode, LOTR
• Joseph Jeffery Bodenmiller, LCSW
• Brittany Knudsen Bodet, CPNP-AC
• Colleen Frantz Bodet, MN, RN, FNP
• Anthony Bodine Jr.
• Kayley Bodine, CRNA
• Body Beautiful Aerobic and Fitness Center
• Bridgitte Boehm
• Emma Rose Boelter, MS, LPC, NCC

• Critical Care Neonatal Nurse Practitioner in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Critical Care Neonatal Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.