Individual provider Active NPI

Christine Sheehan Brennan, NP, CR

  • Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1952304453
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
63834-1901 Issued in LA
Practice address
136 S Roman St
New Orleans, LA 70112-3095
Phone
(504) 599-1387
NPI assigned
May 27, 2005
Last updated
Dec 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 63834-1901 LA Primary

Addresses

Primary practice location

136 S Roman St
New Orleans, LA 70112-3095

Mailing address

6731 Colbert St
New Orleans, LA 70124-2240
Phone (504) 488-5338

Other identifiers 1

IdentifierTypeStateIssuer
1550485MedicaidLA

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
I20110128000873 LA Practitioner - Nurse Practitioner 9931388469 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63834-1901LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Department of Health - Office of Public Health Current Accepting new patients
Louisiana Department of Health - Office of Public Health CurrentSince Mar 16, 2021 Accepting new patients
Infectious Disease Associates CurrentSince Jul 1, 2013 Accepting new patients
Dwight L. Roberson, M.D. Inc. Past Accepting new patients

Locations

1029 Capitol Ave
Crowley, LA 70526
Phone (337) 788-7507

111 N Causeway Blvd
Metairie, LA 70001
Phone (504) 482-0084

4315 Houma Blvd
Ste 201
Metairie, LA 70006
Phone (504) 455-4622

4315 Houma Blvd
Ste 305
Metairie, LA 70006
Phone (504) 455-4622

1450 Poydras St
New Orleans, LA 70112
Phone (504) 903-2373

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1952304453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6731 COLBERT ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701242240",
            "telephone_number": "504-488-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 S ROMAN ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701123095",
            "telephone_number": "504-599-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "CHRISTINE",
        "middle_name": "SHEEHAN",
        "name_prefix": "Ms.",
        "credential": "NP, CR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "63834-1901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1550485",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.