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Contact Information

NOLA PEDIATRICS
2124 DRIFTWOOD BLVD
KENNER, LA70065-3574
 Phone: 504-468-8585
 Fax: 504-468-8584
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
 

Medically Fragile Infants and Children Day Care

261QM3000X
Indicates primary specialty

NPI Profile & details for NOLA PEDIATRICS

NPI Number 1053742882
LBN Legal business name NOLA PEDIATRICS
Authorized official CASEY SHOOK - (DIRECTOR OF NURSING)
Entity Organization
Organization subpart 1 No
Enumeration date 12/04/2013
Last updated 01/29/2025 - More than a year ago
Identifiers
LA License # 2203781882
LA Medicaid 0011183
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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