Organization Active NPI

Raven Clinic

  • Family Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1861825929
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
RAVEN CLINIC
Practice address
8080 Crowder Blvd Ste E
New Orleans, LA 70127-1077
Phone
(504) 514-1247
Fax
(281) 595-1241
NPI assigned
Aug 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Authorized official

Name
Mr. Robert J Jemison, FNP-CNPI 1164854360
Title
Ceo
Phone
(504) 459-2430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X AP07502 LA

Addresses

Primary practice location

8080 Crowder Blvd Ste E
New Orleans, LA 70127-1077

Mailing address

8080 Crowder Blvd Ste E
New Orleans, LA 70127-1077
Phone (504) 459-2430

Other practice location 1

5646 Read Blvd
New Orleans, LA 70127-3144
Phone (504) 592-6623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131206001280 LA Part B Supplier - Clinic/Group Practice 6901033497 Receives reassigned benefits from 2 practitioners
Practice locations: New Orleans, LA

National Provider Directory

National Provider Directory

Locations

2714 Canal St
Ste 406
New Orleans, LA 70119

5646 Read Blvd
New Orleans, LA 70127
Phone (504) 242-5357

4543 Downman Rd
New Orleans, LA 70126
Phone (504) 246-5227

2300 S Galvez St
#L
New Orleans, LA 70125
Phone (504) 522-2230

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20025/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1861825929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 CROWDER BLVD STE E",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701271077",
            "telephone_number": "504-459-2430",
            "fax_number": "281-595-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 CROWDER BLVD STE E",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701271077",
            "telephone_number": "504-514-1247",
            "fax_number": "281-595-1241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5646 Read Blvd",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701273144",
            "country_code": "US",
            "telephone_number": "504-592-6623",
            "fax_number": "504-510-2674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAVEN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "JEMISON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-459-2430",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP07502",
            "primary": false
        }
    ],
    "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 Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.