Individual provider Active NPI

Aylisse Grossenbacher-McGlamery

  • Pediatrics Physician
  • New Orleans, LA
National Provider Identifier
1942905708
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
352364 Issued in LA
Practice address
200 Henry Clay Ave Ste 2000
New Orleans, LA 70118-5720
Phone
(504) 988-5458
Fax
(504) 988-6808
NPI assigned
Apr 3, 2023
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 352364 LA Primary

Addresses

Primary practice location

200 Henry Clay Ave Ste 2000
New Orleans, LA 70118-5720

Mailing address

200 Henry Clay Ave Ste 2000
New Orleans, LA 70118-5720
Phone (504) 988-5458

Other names 1

  • Aylise Grossenbacher-McGlamery Other 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230630001853 LA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 0749649259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1942905708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HENRY CLAY AVE STE 2000",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701185720",
            "telephone_number": "504-988-5458",
            "fax_number": "504-988-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HENRY CLAY AVE STE 2000",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701185720",
            "telephone_number": "504-988-5458",
            "fax_number": "504-988-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSENBACHER-MCGLAMERY",
        "first_name": "AYLISSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "352364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AYLISE",
            "last_name": "GROSSENBACHER-MCGLAMERY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.