Active NPI
Nightwater Health of Louisiana, Inc
- Internal Medicine Physician
- New Orleans, LA
National Provider Identifier
1821742040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NIGHTWATER HEALTH OF LOUISIANA, INC
- Practice address
- 719 Okeefe Ave
New Orleans, LA 70113-1906 - Phone
- (504) 381-4204
- NPI assigned
- Feb 7, 2022
- Organization subpart
- Yes
- Parent organization
- NIGHTWATER HEALTH, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Ikemire, MD
- Title
- Cmo
- Phone
- (504) 717-3050
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
719 Okeefe Ave
New Orleans, LA 70113-1906
Mailing address
111 Water St Ste 4
Exeter, NH 03833-2456
Phone (504) 717-3050
Other practice location 1
2701 General Degaulle Dr
New Orleans, LA 70114-6222
Phone (504) 372-2948
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD.205087 | Other | LA | LSMBE |
National Provider Directory
National Provider Directory- Part of
- Nightwater Health Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670025600000",
"number": "1821742040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 WATER ST STE 4",
"city": "EXETER",
"state": "NH",
"postal_code": "038332456",
"telephone_number": "504-717-3050",
"fax_number": "504-617-6371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 OKEEFE AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701131906",
"telephone_number": "504-381-4204"
}
],
"practiceLocations": [
{
"address_1": "2701 General Degaulle Dr",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701146222",
"country_code": "US",
"telephone_number": "504-372-2948",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NIGHTWATER HEALTH OF LOUISIANA, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NIGHTWATER HEALTH, INC",
"enumeration_date": "2022-02-07",
"last_updated": "2022-12-03",
"certification_date": "2022-12-03",
"status": "A",
"authorized_official_last_name": "IKEMIRE",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CMO",
"authorized_official_telephone_number": "504-717-3050",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LSMBE",
"identifier": "MD.205087",
"state": "LA"
}
],
"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 Dec 3, 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.