Individual provider Active NPI

Mallory K Cantero

  • Nurse Practitioner
  • Metairie, LA
National Provider Identifier
1699131961
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP08651 Issued in LA
Practice address
4430 Veterans Memorial Blvd
Metairie, LA 70006-5329
Phone
(504) 433-7304
NPI assigned
Jan 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP08651 LA Primary

Addresses

Primary practice location

4430 Veterans Memorial Blvd
Metairie, LA 70006-5329

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2483
Phone (504) 842-3000

Other practice location 1

2003 Tulane Ave
New Orleans, LA 70112-3500
Phone (504) 962-6120

Other practice location 2

701 Metairie Rd
Metairie, LA 70005-4050
Phone (504) 833-9440

Other practice location 3

3525 Prytania St
New Orleans, LA 70115
Phone (504) 897-7197

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
I20160628002470 LA Practitioner - Nurse Practitioner 6709177314 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

4430 Veterans Memorial Blvd
Metairie, LA 70006-5329
Phone (504) 433-7203

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP08651LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Current Accepting new patients
LCMC Urgent Care LLC CurrentSince Feb 3, 2019 Accepting new patients
University Medical Center Management Corporation Nurse Practitioner CurrentSince Mar 1, 2020 Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 29, 2025 Accepting new patients
University Medical Center Management Corporation CurrentSince Mar 1, 2020 Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 29, 2025 Accepting new patients

Locations

4430 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 433-7203

1514 Jefferson Hwy
New Orleans, LA 70121

826 Harrison Ave
#A
New Orleans, LA 70124
Phone (504) 309-7108

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

2600 Belle Chasse Hwy
Ste B2
Terrytown, LA 70056
Phone (504) 309-7108

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1451692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1699131961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212483",
            "telephone_number": "504-842-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 VETERANS MEMORIAL BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700065329",
            "telephone_number": "504-433-7304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 Tulane Ave",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701123500",
            "country_code": "US",
            "telephone_number": "504-962-6120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Metairie Rd",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700054050",
            "country_code": "US",
            "telephone_number": "504-833-9440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3525 Prytania St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "70115",
            "country_code": "US",
            "telephone_number": "504-897-7197",
            "fax_number": "504-897-8466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTERO",
        "first_name": "MALLORY",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-02",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP08651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.