Individual provider Active NPI

Stephanie Linton Nolan, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Baker, LA
National Provider Identifier
1912262429
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP06974 Issued in LA
Practice address
12880 Plank Rd
Baker, LA 70714-4909
Phone
(225) 774-7111
Fax
(225) 774-7714
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP06974 LA Primary

Addresses

Primary practice location

12880 Plank Rd
Baker, LA 70714-4909

Mailing address

12880 Plank Rd
Baker, LA 70714-4909
Phone (225) 774-7111

Other names 1

  • Stephanie Linton Cooper 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151207002161 LA Practitioner - Nurse Practitioner 7517267925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark C Mouton MD LLCGroup PAC ID 5597816207, 4 clinicians

Practice addresses (Care Compare)

12880 Plank Rd
Baker, LA 70714-4909
Phone (225) 774-7111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Organizations & group practices 1

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 6

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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1912262429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12880 PLANK RD",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707144909",
            "telephone_number": "225-774-7111",
            "fax_number": "225-774-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12880 PLANK RD",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707144909",
            "telephone_number": "225-774-7111",
            "fax_number": "225-774-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "STEPHANIE",
        "middle_name": "LINTON",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "COOPER",
            "middle_name": "LINTON",
            "credential": "MSN, APRN, FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baker, LA

Sources for this page

Verify at the official NPI Registry.