Organization Active NPI

Neuroglympse, LLC

Doing business as Geaux Mind

  • Neurological Surgery Physician
  • Covington, LA
National Provider Identifier
1770124133
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NEUROGLYMPSE, LLC
Doing business as
Geaux Mind
Practice address
49 Hummingbird Rd
Covington, LA 70433-4505
Phone
(985) 345-7246
NPI assigned
Oct 7, 2019
Last updated
Oct 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Authorized official

Name
Mrs. Corey Ann Conn, MD
Title
Member, Manager, & Medical Director
Phone
(985) 345-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU Primary

Addresses

Primary practice location

49 Hummingbird Rd
Covington, LA 70433-4505

Mailing address

49 Hummingbird Rd
Covington, LA 70433-4505
Phone (985) 345-7246

Other names 1

  • Geaux Mind Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1770124133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 HUMMINGBIRD RD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704334505",
            "telephone_number": "985-345-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 HUMMINGBIRD RD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704334505",
            "telephone_number": "985-345-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROGLYMPSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "CONN",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MEMBER, MANAGER, & MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "985-345-7246",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Geaux Mind",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.