Individual provider Active NPI

Paige Pocorello Prevot

  • Pediatrics Physician
  • New Orleans, LA
National Provider Identifier
1932736550
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
331992 Issued in LA
Practice address
2020 Gravier St Ste 602
New Orleans, LA 70112-2272
Phone
(504) 568-4006
NPI assigned
Mar 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 331992 LA Primary

Addresses

Primary practice location

2020 Gravier St Ste 602
New Orleans, LA 70112-2272

Mailing address

2020 Gravier St Ste 602
New Orleans, LA 70112-2272
Phone (504) 568-4006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20240722000084 GA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 9739545104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
331992LAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1932736550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 GRAVIER ST STE 602",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122272",
            "telephone_number": "504-568-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 GRAVIER ST STE 602",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122272",
            "telephone_number": "504-568-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVOT",
        "first_name": "PAIGE",
        "middle_name": "POCORELLO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "331992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.