Individual provider Active NPI

Cindy Otillio, NP

  • Family Nurse Practitioner
  • Hammond, LA
National Provider Identifier
1932640323
Registry record updated Sep 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
09141 Issued in LA
Practice address
16014 Doctors Blvd
Hammond, LA 70403-1478
Phone
(985) 340-7868
NPI assigned
Mar 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 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 09141 LA Primary

Addresses

Primary practice location

16014 Doctors Blvd
Hammond, LA 70403-1478

Mailing address

16014 Doctors Blvd
Hammond, LA 70403-1478
Phone (985) 340-7868

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
I20171013000250 LA Practitioner - Nurse Practitioner 8527333731 Reassigns benefits to 4 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
In and Out Urgent Care Covington, LLCGroup PAC ID 0143574426, 15 clinicians

Practice addresses (Care Compare)

13130 Hwy 1085
Covington, LA 70433-6835
Phone (985) 261-0261

716 W 21St Ave
Covington, LA 70433-2402
Phone (985) 400-5028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
09141LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Mar 21, 2022 Accepting new patients
In and Out Urgent Care Covington, LLC CurrentSince Jan 1, 2023 Accepting new patients
In and Out Urgent Care, LLC CurrentSince Feb 1, 2023 Accepting new patients
In and Out Urgent Care of Metairie, LLC CurrentSince Feb 1, 2023 Accepting new patients
Ochsner Clinic LLC CurrentSince Mar 21, 2022 Accepting new patients

Locations

716 W 21st Ave
Covington, LA 70433

13130 Highway 1085
Covington, LA 70433
Phone (985) 261-0261

13130 Highway 1085
Ste 100
Covington, LA 70433
Phone (985) 377-9877

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

100 N Labarre Rd
Ste C
Metairie, LA 70001
Phone (504) 827-1717

6225 S Claiborne Ave
New Orleans, LA 70125
Phone (504) 864-8080

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

2375 Gause Blvd E
Slidell, LA 70461
Phone (504) 645-9000

Interoperability endpoints

  • Direct secure messaging: cindy.otillio.1@14366.direct.athenahealth.com
  • Direct secure messaging: cotillio486546@direct.ochsner.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505865600000",
    "number": "1932640323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16014 DOCTORS BLVD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031478",
            "telephone_number": "985-340-7868",
            "fax_number": "985-340-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16014 DOCTORS BLVD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031478",
            "telephone_number": "985-340-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTILLIO",
        "first_name": "CINDY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "09141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.