Individual provider Active NPI

Sean Buchta, NP-C

  • Family Nurse Practitioner
  • Metairie, LA
National Provider Identifier
1922539642
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09179 Issued in LA
Practice address
3939 Houma Blvd
Suite 21
Metairie, LA 70006-2931
Phone
(504) 885-6464
NPI assigned
Mar 23, 2017
Last updated
Mar 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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 AP09179 LA Primary

Addresses

Primary practice location

3939 Houma Blvd
Suite 21
Metairie, LA 70006-2931

Mailing address

3939 Houma Blvd
Suite 21
Metairie, LA 70006-2931

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
I20170602000102 LA Practitioner - Nurse Practitioner 2769759323 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pontchartrain Bone and Joint Clinic LTDGroup PAC ID 8426091497, 18 clinicians

Practice addresses (Care Compare)

3939 Houma Blvd
Suite 21
Metairie, LA 70006-2921
Phone (504) 885-6464

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP09179LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pontchartrain Bone & Joint Clinic, LTD. CurrentSince Dec 1, 2023 Accepting new patients
LMG, LLC CurrentSince May 1, 2017 Accepting new patients
Pontchartrain Bone & Joint Clinic, LTD. CurrentSince Dec 1, 2023 Accepting new patients
LMG LLC CurrentSince May 1, 2017 Accepting new patients

Locations

14041 Highway 90
Boutte, LA 70039
Phone (504) 503-6445

4633 Wichers Dr
Marrero, LA 70072
Phone (504) 347-5421

3939 Houma Blvd
Ste 21
Metairie, LA 70006
Phone (504) 885-6464

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_PBJC

Organizations & group practices 4

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": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1922539642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 HOUMA BLVD",
            "address_2": "SUITE 21",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 HOUMA BLVD",
            "address_2": "SUITE 21",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062931",
            "telephone_number": "504-885-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHTA",
        "first_name": "SEAN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.