Individual provider Active NPI

Roxane W Minet, NP

  • Nurse Practitioner
  • Marrero, LA
National Provider Identifier
1720211477
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP05861 Issued in LA
Practice address
1220 Barataria Blvd
Marrero, LA 70072-3702
Phone
(504) 340-6711
Fax
(504) 348-3935
NPI assigned
Aug 28, 2009
Last updated
Jul 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN103726 LA
Nurse Practitioner 363L00000X AP05861 LA Primary

Addresses

Primary practice location

1220 Barataria Blvd
Marrero, LA 70072-3702

Mailing address

1220 Barataria Blvd
Marrero, LA 70072-3702
Phone (504) 340-6711

Other identifiers 2

IdentifierTypeStateIssuer
08485731MedicaidMS
1889857MedicaidLA

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
I20091021000662 LA Practitioner - Nurse Practitioner 6800933979 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP05861LAMDNurse Practitioner
RN103726LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Westcare Medical Center, Inc CurrentSince Jan 30, 2012 Accepting new patients

Locations

1220 Barataria Blvd
Marrero, LA 70072
Phone (504) 340-6711

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GABFAD

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": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1720211477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 BARATARIA BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723702",
            "telephone_number": "504-340-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 BARATARIA BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723702",
            "telephone_number": "504-340-6711",
            "fax_number": "504-348-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINET",
        "first_name": "ROXANE",
        "middle_name": "W",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-28",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "RN103726",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP05861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08485731",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1889857",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.