Individual provider Active NPI

Braiden Karasoulis

  • Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1710616073
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
202473 Issued in LA
Practice address
6363 Saint Charles Ave
New Orleans, LA 70118-6143
Phone
(504) 865-3240
NPI assigned
Jun 9, 2022
Last updated
Jun 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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 202473 LA Primary

Addresses

Primary practice location

6363 Saint Charles Ave
New Orleans, LA 70118-6143

Mailing address

2633 Napoleon Ave Ste 920
New Orleans, LA 70115-7408
Phone (504) 533-8848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
202473LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Orleans Center for Aesthetics and Plastic Surgery,LLC. CurrentSince Jul 3, 2022 Accepting new patients

Locations

2633 Napoleon Ave
Ste 920
New Orleans, LA 70115
Phone (504) 533-8848

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": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1710616073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 NAPOLEON AVE STE 920",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701157408",
            "telephone_number": "504-533-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 SAINT CHARLES AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701186143",
            "telephone_number": "504-865-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARASOULIS",
        "first_name": "BRAIDEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "202473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.