Individual provider Active NPI

Carla Graves, NP

  • Family Nurse Practitioner
  • Hammond, LA
National Provider Identifier
1982145470
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09215 Issued in LA
Practice address
15813 Paul Vega MD Dr
Suite 100
Hammond, LA 70403-1426
Phone
(985) 230-2663
Fax
(985) 230-2665
NPI assigned
Mar 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP09215 LA Primary

Addresses

Primary practice location

15813 Paul Vega MD Dr
Suite 100
Hammond, LA 70403-1426

Mailing address

PO Box 3087
Hammond, LA 70404-3087
Phone (985) 230-2663

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
I20170425001256 LA Practitioner - Nurse Practitioner 3779869961 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare Plus Limited Liability CompanyGroup PAC ID 5698038610, 120 clinicians

Practice addresses (Care Compare)

Metairie, LA 70001
Phone (769) 243-6141

Hospital & facility affiliations

  • Audubon Home Health of Hammond Home health agency, Hammond, LA, CCN 197272
  • North Oaks Medical Center Hospital, Hammond, LA, CCN 190015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP09215LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Management Specialists, LLC Nurse Practitioner CurrentSince Apr 13, 2024 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Oct 16, 2023 Accepting new patients
Healthcare Plus Limited Liability Company Nurse Practitioner CurrentSince Nov 4, 2023 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Oct 16, 2023 Accepting new patients

Locations

300 Florida Ave SE
Denham Springs, LA 70726
Phone (225) 523-6022

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

3001 22nd St
Metairie, LA 70002
Phone (504) 949-0450

778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1982145470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3087",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704043087",
            "telephone_number": "985-230-2663",
            "fax_number": "985-230-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15813 PAUL VEGA MD DR",
            "address_2": "SUITE 100",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031426",
            "telephone_number": "985-230-2663",
            "fax_number": "985-230-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "CARLA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.