Individual provider Active NPI

Carol Ann Vadiee, NP

  • Nurse Practitioner
  • Chalmette, LA
National Provider Identifier
1790740496
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
59065-1151 Issued in LA
Practice address
125 E Saint Bernard Hwy
Chalmette, LA 70043-5159
Phone
(504) 278-1414
Fax
(504) 278-1455
NPI assigned
Apr 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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 59065-1151 LA Primary

Addresses

Primary practice location

125 E Saint Bernard Hwy
Chalmette, LA 70043-5159

Mailing address

125 E Saint Bernard Hwy
Chalmette, LA 70043-5159
Phone (504) 278-1414

Other identifiers 1

IdentifierTypeStateIssuer
1437808MedicaidLA

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
I20060331000151 LA Practitioner - Nurse Practitioner 0840208930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abdolreza Vadiee, Inc.Group PAC ID 2365462611, 2 clinicians

Practice addresses (Care Compare)

125 E Saint Bernard Hwy
Chalmette, LA 70043-5159
Phone (504) 278-1414

Hospital & facility affiliations

  • St Bernard Parish Hospital Hospital, Chalmette, LA, CCN 190308

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59065-1151LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abdolreza Vadiee, Inc. CurrentSince Nov 4, 2009 Accepting new patients

Locations

125 E Saint Bernard Hwy
Chalmette, LA 70043
Phone (504) 278-1414

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1790740496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E SAINT BERNARD HWY",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700435159",
            "telephone_number": "504-278-1414",
            "fax_number": "504-278-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E SAINT BERNARD HWY",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700435159",
            "telephone_number": "504-278-1414",
            "fax_number": "504-278-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADIEE",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "59065-1151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437808",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chalmette, LA

Sources for this page

Verify at the official NPI Registry.