Individual provider Active NPI

Gloria V. Peters, NP

  • Family Nurse Practitioner
  • Slidell, LA
National Provider Identifier
1972844769
Registry record updated Mar 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07191 Issued in LA
Practice address
505 Robert Blvd
Slidell, LA 70458-1645
Phone
(985) 643-6900
NPI assigned
Mar 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN100743 LA
Family Nurse Practitioner 363LF0000X AP07191 LA Primary

Addresses

Primary practice location

505 Robert Blvd
Slidell, LA 70458-1645

Mailing address

161 Pebble Beach Dr
Slidell, LA 70458-5746
Phone (985) 781-2462

Other practice location 1

2500 Belle Chasse Hwy
Terrytown, LA 70056-7127
Phone (504) 392-3131

Other practice location 2

161 Pebble Beach Dr
Slidell, LA 70458-5746
Phone (985) 781-2462

Other identifiers 2

IdentifierTypeStateIssuer
08253729MedicaidMS
2324225MedicaidLA

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
I20130427000043 LA Practitioner - Nurse Practitioner 7618113200 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Belle Chasse Physician Services LLCGroup PAC ID 9335379379, 258 clinicians

Practice addresses (Care Compare)

2500 Belle Chasse Hwy
Terrytown, LA 70056-7127
Phone (504) 392-3131

Hospital & facility affiliations

  • Slidell Memorial Hospital Hospital, Slidell, LA, CCN 190040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP07191LAMDFamily Nurse Practitioner
RN100743LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group, Louisiana, Inc. CurrentSince Nov 14, 2022 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Apr 1, 2013 Accepting new patients
Mayfair Physician Services, LLC Nurse Practitioner CurrentSince Mar 14, 2021 Accepting new patients
Belle Chasse Physician Services LLC Nurse Practitioner CurrentSince Feb 15, 2014 Accepting new patients
Ochsner Clinic LLC CurrentSince Apr 1, 2013 Accepting new patients

Locations

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

1514 Jefferson Hwy
New Orleans, LA 70121

25455 Highway 1
Plaquemine, LA 70764
Phone (225) 754-6870

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200

2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679184000000",
    "number": "1972844769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 PEBBLE BEACH DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704585746",
            "telephone_number": "985-781-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 ROBERT BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704581645",
            "telephone_number": "985-643-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Belle Chasse Hwy",
            "address_purpose": "LOCATION",
            "city": "Terrytown",
            "state": "LA",
            "postal_code": "700567127",
            "country_code": "US",
            "telephone_number": "504-392-3131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 Pebble Beach Dr",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704585746",
            "country_code": "US",
            "telephone_number": "985-781-2462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "GLORIA",
        "middle_name": "V.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2023-03-19",
        "certification_date": "2023-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN100743",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08253729",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2324225",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.