Active NPI
Adrian Sam, FNP
- Family Nurse Practitioner
- New Orleans, LA
National Provider Identifier
1831929447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 237011
- Practice address
- 13085 Chef Menteur Hwy
New Orleans, LA 70129-1804 - Phone
- (504) 249-5834
- NPI assigned
- Aug 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 237011 | LA | Primary |
Addresses
Primary practice location
13085 Chef Menteur Hwy
New Orleans, LA 70129-1804
Mailing address
13085 Chef Menteur Hwy
New Orleans, LA 70129-1804
Phone (504) 249-5834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 237011 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MQVN Community Development Corporation | Past | Accepting new patients |
Interoperability endpoints
- adrian.sam.1@12149.direct.athenahealth.com
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.
-
- Federally Qualified Health Center (FQHC)
- New Orleans, LA
- NPI 1679875744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1831929447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13085 CHEF MENTEUR HWY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701291804",
"telephone_number": "504-249-5834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13085 CHEF MENTEUR HWY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701291804",
"telephone_number": "504-249-5834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAM",
"first_name": "ADRIAN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-07",
"last_updated": "2024-08-07",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "237011",
"primary": true
}
],
"identifiers": [],
"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 Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.