Individual provider Active NPI

Jakayla Marie Harrell-Mohamed, MD

  • Anesthesiology Physician
  • Kenner, LA
National Provider Identifier
1891224192
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
330710 Issued in LA
Practice address
21 Cabernet Dr
Kenner, LA 70065-1135
Phone
(601) 341-7247
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 330710 LA Primary

Addresses

Primary practice location

21 Cabernet Dr
Kenner, LA 70065-1135

Mailing address

21 Cabernet Dr
Kenner, LA 70065-1135
Phone (601) 341-7247

Other names 1

  • Jakayla Marie Harrell Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220516002224 LA Practitioner - Anesthesiology 0941687883 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Mississippi School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Childrens Hospital Anesthesia CorporationGroup PAC ID 0446152862, 281 clinicians

Practice addresses (Care Compare)

200 Henry Clay Ave
New Orleans, LA 70118-5720
Phone (504) 613-0711

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
330710LAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Feb 27, 2023 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Childrens Hospital Anesthesia Corporation Anesthesiology CurrentSince May 15, 2022 Accepting new patients
Ochsner Clinic LLC CurrentSince Feb 27, 2023 Accepting new patients

Locations

200 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-2940

1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655

4430 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 433-7203

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

Interoperability endpoints

  • Direct secure messaging: jharrell462762@direct.ochsner.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1891224192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CABERNET DR",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700651135",
            "telephone_number": "601-341-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CABERNET DR",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700651135",
            "telephone_number": "601-341-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL-MOHAMED",
        "first_name": "JAKAYLA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "330710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAKAYLA",
            "last_name": "HARRELL",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kenner, LA

Sources for this page

Verify at the official NPI Registry.