Organization Active NPI

Louisiana Academic Health Network, LLC

  • Student Health Clinic/Center
  • New Orleans, LA
National Provider Identifier
1972094266
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
MD203855 Issued in LA
Legal business name
LOUISIANA ACADEMIC HEALTH NETWORK, LLC
Practice address
5552 Read Blvd
New Orleans, LA 70127
Phone
(504) 373-6264
NPI assigned
May 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Stephen Jones, MDNPI 1851568877
Title
Medical Director
Phone
(504) 503-0036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MD203855 LA
Student Health Clinic/Center 261QS1000X MD203855 LA Primary

Addresses

Primary practice location

5552 Read Blvd
New Orleans, LA 70127

Mailing address

3333 Saint Claude Ave
New Orleans, LA 70117-6142
Phone (504) 324-7790

Other practice location 1

6501 Berkley Dr
New Orleans, LA 70131-5513
Phone (504) 615-1906

Other practice location 2

3232 Michelli Dr
Baton Rouge, LA 70805-7255
Phone (504) 615-1906

Other practice location 3

7301 Dwyer Rd
New Orleans, LA 70126-4215
Phone (504) 615-1906

Other identifiers 1

IdentifierTypeStateIssuer
1093840MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211112000463 LA Part B Supplier - Clinic/Group Practice 1759770720 Receives reassigned benefits from 12 practitioners
Practice locations: New Orleans, LA; Baton Rouge, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2215057Louisiana Academic Health Network6501 Berkley Drive, New Orleans, LA 70131Certificate of waiverFeb 25, 2027

National Provider Directory

National Provider Directory

Locations

3232 Michelli Dr
Baton Rouge, LA 70805
Phone (504) 615-1906

282 Lobdell Blvd
Baton Rouge, LA 70806
Phone (225) 256-2974

4500 General Meyer Ave
New Orleans, LA 70131

1801 Whitney Ave
New Orleans, LA 70114
Phone (504) 302-7111

2625 Thalia St
New Orleans, LA 70113
Phone (504) 352-6438

7301 Dwyer Rd
New Orleans, LA 70126
Phone (504) 373-6215

1201 S Roman St
New Orleans, LA 70125
Phone (504) 335-1935

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1972094266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 SAINT CLAUDE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701176142",
            "telephone_number": "504-324-7790",
            "fax_number": "504-324-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5552 READ BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70127",
            "telephone_number": "504-373-6264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6501 Berkley Dr",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701315513",
            "country_code": "US",
            "telephone_number": "504-615-1906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3232 Michelli Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708057255",
            "country_code": "US",
            "telephone_number": "504-615-1906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7301 Dwyer Rd",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701264215",
            "country_code": "US",
            "telephone_number": "504-615-1906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOUISIANA ACADEMIC HEALTH NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "504-503-0036",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "MD203855",
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "LA",
            "license": "MD203855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093840",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.