Individual provider Active NPI

Aeisha Fobb, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Gonzales, LA
National Provider Identifier
1881360881
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
204491 Issued in LA
Practice address
2117 S Burnside Ave Ste a
Gonzales, LA 70737-4669
Phone
(225) 461-4679
Fax
(225) 430-3275
NPI assigned
Aug 19, 2021
Last updated
May 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 204491 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 204491 LA Primary

Addresses

Primary practice location

2117 S Burnside Ave Ste a
Gonzales, LA 70737-4669

Mailing address

233 Grove Park
La Place, LA 70068-6375
Phone (225) 461-4679

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
I20250603002815 LA Practitioner - Nurse Practitioner 2961911763 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Louisiana LLCGroup PAC ID 4880731355, 140 clinicians

Practice addresses (Care Compare)

2900 Westfork Dr
Suite 401
Baton Rouge, LA 70827-0004
Phone (877) 260-4747

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
204491LAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Connect LLC Psychiatric/Mental Health CurrentSince Apr 14, 2025 Accepting new patients
Curana Health of Louisiana LLC CurrentSince Sep 9, 2025 Accepting new patients
CH MSSP Services la LLC CurrentSince Sep 9, 2025 Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895

2117 S Burnside Ave
Ste A
Gonzales, LA 70737
Phone (225) 461-4679

2614 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 291-5100

100 Kingston Rd
Sulphur, LA 70663
Phone (337) 625-5810

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1881360881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 GROVE PARK",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700686375",
            "telephone_number": "225-461-4679",
            "fax_number": "225-430-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 S BURNSIDE AVE STE A",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374669",
            "telephone_number": "225-461-4679",
            "fax_number": "225-430-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOBB",
        "first_name": "AEISHA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "204491",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "204491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

Verify at the official NPI Registry.