Active NPI
Collaborative Health Nola, LLC
- Nursing Care Agency
- Kenner, LA
National Provider Identifier
1871241182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- COLLABORATIVE HEALTH NOLA, LLC
- Practice address
- 2401 Idaho Ave
Kenner, LA 70062-5715 - Phone
- (504) 466-0222
- NPI assigned
- Mar 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nikesha Guice Duplessis
- Title
- Nurse Practitioner
- Phone
- (504) 345-6217
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | Primary | ||
| Health Service Clinic/Center | 261QH0100X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Assisted Living Facility | 310400000X |
Addresses
Primary practice location
2401 Idaho Ave
Kenner, LA 70062-5715
Mailing address
PO Box 295
Mandeville, LA 70470-0295
Phone (504) 345-6217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2401 Idaho Ave
#C
Kenner, LA 70062
Phone (504) 466-0222
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Mandeville, LA
- NPI 1134551831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647302400000",
"number": "1871241182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 295",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704700295",
"telephone_number": "504-345-6217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 IDAHO AVE",
"city": "KENNER",
"state": "LA",
"postal_code": "700625715",
"telephone_number": "504-466-0222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLLABORATIVE HEALTH NOLA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-15",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A",
"authorized_official_last_name": "DUPLESSIS",
"authorized_official_first_name": "NIKESHA",
"authorized_official_middle_name": "GUICE",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "504-345-6217"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenner, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.