Individual provider Active NPI

Nicole Stokes

  • Family Nurse Practitioner
  • Slidell, LA
National Provider Identifier
1902298409
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09876 Issued in LA
Practice address
1375 Corporate Square Dr
Slidell, LA 70458-3147
Phone
(865) 202-3147
NPI assigned
Feb 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000019596 TN
Family Nurse Practitioner 363LF0000X AP09876 LA Primary

Addresses

Primary practice location

1375 Corporate Square Dr
Slidell, LA 70458-3147

Mailing address

1303 Town Center Pkwy Unit 10213
Slidell, LA 70458-8090
Phone (865) 202-3147

Other practice location 1

135 Fox Rd
Knoxville, TN 37922-3349
Phone (865) 966-3060

Other practice location 2

2000 Audubon Ave Ste B
Thibodaux, LA 70301-5075
Phone (985) 377-1884

Other practice location 3

3434 Houma Blvd Ste 202
Metairie, LA 70006-4700
Phone (985) 377-1884

Other practice location 4

188 Summer St
Dover Foxcroft, ME 04426-1129
Phone (207) 538-3700 ext. 191

Other identifiers 1

IdentifierTypeStateIssuer
1902298409OtherTNNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX, ME, TN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180531001924 LA Practitioner - Nurse Practitioner 0143524082 Reassigns benefits to 1 organization
I20250411000100 TX Practitioner - Nurse Practitioner 0143524082 Reassigns benefits to 1 organization
I20250609001613 ME Practitioner - Nurse Practitioner 0143524082
I20260402003214 TN Practitioner - Nurse Practitioner 0143524082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Pain ConsultantsGroup PAC ID 7416323514, 16 clinicians

Practice addresses (Care Compare)

101 Donner Dr
Oak Ridge, TN 37830-7745
Phone (865) 695-0941

Hospital & facility affiliations

  • Northern Light Mayo Hospital Hospital, Dover Foxcroft, ME, CCN 201309

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP09876LAMDFamily Nurse Practitioner
APN0000019596TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maniilaq Association CurrentSince Jan 24, 2025 Accepting new patients
Aust Medical LLC CurrentSince Sep 15, 2019 Accepting new patients
Katahdin Valley Health Center Current Accepting new patients
Maniilaq Association CurrentSince Jan 24, 2025 Accepting new patients
Maniilaq Association Current Accepting new patients
Interventional Pain Consultants Past Accepting new patients
Katahdin Valley Health Center Past Accepting new patients

Locations

3434 Houma Blvd
Ste C
Metairie, LA 70006

3434 Houma Blvd
Ste 202
Metairie, LA 70006
Phone (312) 859-0037

740 Gause Blvd
Slidell, LA 70458
Phone (504) 646-0945

1375 Corporate Square Dr
Slidell, LA 70458
Phone (985) 726-2655

2000 Audubon Ave
Ste B
Thibodaux, LA 70301

180 Main Rd
Brownville, ME 04414
Phone (207) 965-8700

59 Bangor St
Houlton, ME 04730
Phone (207) 532-7161

50 Summer St
Millinocket, ME 04462
Phone (207) 723-6565

30 Houlton St
Patten, ME 04765
Phone (866) 366-5842

529 S Patten Rd
Patten, ME 04765

Organizations & group practices 7

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 1

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": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1902298409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 TOWN CENTER PKWY UNIT 10213",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588090",
            "telephone_number": "865-202-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 CORPORATE SQUARE DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583147",
            "telephone_number": "865-202-3147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Fox Rd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379223349",
            "country_code": "US",
            "telephone_number": "865-966-3060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Audubon Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Thibodaux",
            "state": "LA",
            "postal_code": "703015075",
            "country_code": "US",
            "telephone_number": "985-377-1884",
            "fax_number": "985-377-1914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3434 Houma Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700064700",
            "country_code": "US",
            "telephone_number": "985-377-1884",
            "fax_number": "985-377-1914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "188 Summer St",
            "address_purpose": "LOCATION",
            "city": "Dover Foxcroft",
            "state": "ME",
            "postal_code": "044261129",
            "country_code": "US",
            "telephone_number": "207-538-3700 x191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOKES",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-20",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000019596",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1902298409",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.