Active NPI
Carla Graves, NP
- Family Nurse Practitioner
- Hammond, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP09215
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
Metairie, LA 70001
Phone (769) 243-6141
Hospital & facility affiliations
- Audubon Home Health of Hammond
- North Oaks Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP09215 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Management Specialists, LLC | Nurse Practitioner | Current | Accepting new patients |
| Calcasieu Urgent Care LLC | Current | Accepting new patients | |
| Healthcare Plus Limited Liability Company | Nurse Practitioner | Current | Accepting new patients |
| Calcasieu Urgent Care, LLC | Current | 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.
-
- Specialist
- Metairie, LA
- NPI 1063927465
LA, Nurse Practitioner
-
- Nurse Practitioner
- Flowood, MS
- NPI 1972150084
LA, Nurse Practitioner
-
- Rural Health Clinic/Center
- Breaux Bridge, LA
- NPI 1194482398
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hammond, LA
- NPI 1750729760
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.