Individual provider Active NPI

Angela N Reynolds, NP

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1821586272
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09748 Issued in LA
Practice address
4212 Bluebonnet Blvd Ste a
Baton Rouge, LA 70809-9675
Phone
(225) 399-0001
NPI assigned
May 1, 2018
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP09748 LA Primary

Addresses

Primary practice location

4212 Bluebonnet Blvd Ste a
Baton Rouge, LA 70809-9675

Mailing address

4212 Bluebonnet Blvd Ste a
Baton Rouge, LA 70809-9675
Phone (225) 399-0001

Other practice location 1

15790 Paul Vega Md Dr
Hammond, LA 70403-1436
Phone (985) 230-1332

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
I20180605001067 LA Practitioner - Nurse Practitioner 9830454347 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jul 29, 2019 Accepting new patients
Ochsner Clinic LLC CurrentSince Jul 29, 2019 Accepting new patients
North Oaks Physician Group, LLC CurrentSince Jul 1, 2019 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
North Oaks Medical Center, LLC CurrentSince Jul 1, 2018 Accepting new patients
Weiler Plastic Surgery PastSince Aug 27, 2023 Accepting new patients

Locations

1111 Greengate Dr
Ste B
Covington, LA 70433
Phone (985) 246-2420

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

15813 Paul Vega Md Dr
Ste 200
Hammond, LA 70403
Phone (985) 230-7650

231 N Carrollton Ave
Ste B
New Orleans, LA 70119
Phone (504) 218-4853

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

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, 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": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1821586272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 BLUEBONNET BLVD STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099675",
            "telephone_number": "225-399-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 BLUEBONNET BLVD STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099675",
            "telephone_number": "225-399-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15790 Paul Vega Md Dr",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031436",
            "country_code": "US",
            "telephone_number": "985-230-1332",
            "fax_number": "985-230-1369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ANGELA",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.