| Crescentcare | |
|
1631 Elysian Fields Ave New Orleans LA 70117-8208 | |
| (504) 821-2601 | |
| (504) 814-6047 |
| Full Name | Crescentcare |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1631 Elysian Fields Ave, New Orleans, Louisiana |
| Authorized Official Name and Position | Alice Riener (CEO) |
| Authorized Official Contact | 5048212601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescentcare 1631 Elysian Fields Ave New Orleans LA 70117-8208 Ph: (504) 821-2601 | Crescentcare 1631 Elysian Fields Ave New Orleans LA 70117-8208 Ph: (504) 821-2601 |
| NPI Number | 1942403662 |
|---|---|
| Provider Enumeration Date | 06/08/2007 |
| Last Update Date | 08/02/2024 |
| Certification Date | 08/02/2024 |
| Medicare PECOS PAC ID | 2163514100 |
|---|---|
| Medicare Enrollment ID | O20070822001320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942403662 | NPI | - | NPPES |
| 1141356 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Caroline Christopher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477623486 PECOS PAC ID: 8123080124 Enrollment ID: I20041102000364 |
| Provider Name | Rebecca A Lillis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760481592 PECOS PAC ID: 5193780427 Enrollment ID: I20041129000065 |
| Provider Name | Jeffrey W Coco |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831127513 PECOS PAC ID: 1355240516 Enrollment ID: I20060703000026 |
| Provider Name | Mary Patricia Gootee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669470472 PECOS PAC ID: 2567561343 Enrollment ID: I20070619000643 |
| Provider Name | Virginia M Bouvier |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346406428 PECOS PAC ID: 3173690294 Enrollment ID: I20080916000026 |
| Provider Name | Stephanie N Taylor |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205855277 PECOS PAC ID: 6800963547 Enrollment ID: I20080923000426 |
| Provider Name | Isolde Butler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639348915 PECOS PAC ID: 3678627841 Enrollment ID: I20090821000678 |
| Provider Name | Carole Maria Pindaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619988136 PECOS PAC ID: 7517144561 Enrollment ID: I20110601000014 |
| Provider Name | Lorna Seybolt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508950247 PECOS PAC ID: 6305871096 Enrollment ID: I20111116000413 |
| Provider Name | Jennifer Ruth Myhre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487911525 PECOS PAC ID: 1153560461 Enrollment ID: I20130618000403 |
| Provider Name | Myo T Myint |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912164112 PECOS PAC ID: 8426292988 Enrollment ID: I20130924000069 |
| Provider Name | Catherine Nsikak Udofia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023411766 PECOS PAC ID: 5991029449 Enrollment ID: I20150112000514 |
| Provider Name | Julia D Siren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013338094 PECOS PAC ID: 7810203247 Enrollment ID: I20150901000168 |
| Provider Name | Robin H C Ivester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437416468 PECOS PAC ID: 8426366501 Enrollment ID: I20151009001544 |
| Provider Name | Christopher G Garnett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306102983 PECOS PAC ID: 3870803208 Enrollment ID: I20151113001736 |
| Provider Name | Andrea M Laplante |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659504769 PECOS PAC ID: 5092012476 Enrollment ID: I20160330001013 |
| Provider Name | Kimberly A Mukerjee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609219765 PECOS PAC ID: 5193012995 Enrollment ID: I20160922000129 |
| Provider Name | Shilpa Amara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942566799 PECOS PAC ID: 2264729508 Enrollment ID: I20160929001798 |
| Provider Name | Robin Alisa Edwards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083728166 PECOS PAC ID: 5496705014 Enrollment ID: I20161029000009 |
| Provider Name | Eric D Babineaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205144201 PECOS PAC ID: 9638331135 Enrollment ID: I20161209002015 |
| Provider Name | Allison Louise Cragin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285992651 PECOS PAC ID: 7719137611 Enrollment ID: I20170807000109 |
| Provider Name | Pheobe Nywreh Askie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336567304 PECOS PAC ID: 3971726845 Enrollment ID: I20171005000421 |
| Provider Name | Katey G Varnado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851815500 PECOS PAC ID: 3678848835 Enrollment ID: I20171013002561 |
| Provider Name | Maeghan A Davis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053653824 PECOS PAC ID: 2860799343 Enrollment ID: I20180522001279 |
| Provider Name | Hieu M Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730668799 PECOS PAC ID: 5395097224 Enrollment ID: I20181004000366 |
| Provider Name | Elizabeth Catherine Gage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972080505 PECOS PAC ID: 3274886155 Enrollment ID: I20181023000251 |
| Provider Name | Benjamin Charles Kalayjian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831584853 PECOS PAC ID: 3375896863 Enrollment ID: I20181031000347 |
| Provider Name | Stephen Brisco |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1902938061 PECOS PAC ID: 1850644246 Enrollment ID: I20181101001454 |
| Provider Name | Jolie M Leblanc |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295147163 PECOS PAC ID: 0345586889 Enrollment ID: I20190104000455 |
| Provider Name | Deepa Vijay Panchang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902390941 PECOS PAC ID: 9537407341 Enrollment ID: I20190220001024 |
| Provider Name | Elsa Minoli De Alwis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407374903 PECOS PAC ID: 6608115100 Enrollment ID: I20190227003006 |
| Provider Name | Kierstin Lauren Keyserling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164915286 PECOS PAC ID: 3779816244 Enrollment ID: I20190615000027 |
| Provider Name | Jennifer A Kronenberger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568827475 PECOS PAC ID: 5991039158 Enrollment ID: I20190624000370 |
| Provider Name | Deena Couget |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720526023 PECOS PAC ID: 5496189714 Enrollment ID: I20191219001411 |
| Provider Name | Lindsay Haislip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275034647 PECOS PAC ID: 3274964960 Enrollment ID: I20200513001466 |
| Provider Name | Fei Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902287360 PECOS PAC ID: 4082921663 Enrollment ID: I20200903000697 |
| Provider Name | Abbie R Levenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679022354 PECOS PAC ID: 0941628911 Enrollment ID: I20200909000061 |
| Provider Name | Lucy Ann Cordts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265897284 PECOS PAC ID: 0345660866 Enrollment ID: I20201021001421 |
| Provider Name | Anna Montegudo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376938662 PECOS PAC ID: 6002183225 Enrollment ID: I20210310000515 |
| Provider Name | La' Nyia Jameelah Odoms |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104280973 PECOS PAC ID: 5395151716 Enrollment ID: I20210310001232 |
| Provider Name | Jacob Robert Rickoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225665417 PECOS PAC ID: 7416364799 Enrollment ID: I20210405000149 |
| Provider Name | Stephanie Eunha Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649620287 PECOS PAC ID: 8729414834 Enrollment ID: I20210409000337 |
| Provider Name | Elizabeth N Holcomb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194111385 PECOS PAC ID: 5092099002 Enrollment ID: I20210803003849 |
| Provider Name | Wren Harrison Fondren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174027411 PECOS PAC ID: 2860897170 Enrollment ID: I20210825001792 |
| Provider Name | Lauren K Arrigo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235702515 PECOS PAC ID: 2062801939 Enrollment ID: I20211115001814 |
| Provider Name | Eva M Pesta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437638251 PECOS PAC ID: 4981099165 Enrollment ID: I20220325000931 |
| Provider Name | Melanie Mcclellan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861976292 PECOS PAC ID: 7012371917 Enrollment ID: I20230911003649 |
| Provider Name | Marice Ruiz-conejo Castillo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275027559 PECOS PAC ID: 8426448424 Enrollment ID: I20231009000987 |
| Provider Name | Wesley Kate Leftwich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467905992 PECOS PAC ID: 9032407390 Enrollment ID: I20231011000173 |
| Provider Name | Marilla J Chapman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881356764 PECOS PAC ID: 9638524606 Enrollment ID: I20231011000801 |
| Provider Name | Edwin Swiatlo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982630075 PECOS PAC ID: 9537239959 Enrollment ID: I20231012001109 |
| Provider Name | Riley Elizabeth Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235799560 PECOS PAC ID: 5193108215 Enrollment ID: I20231013000943 |
| Provider Name | Catherine Kelleher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538618558 PECOS PAC ID: 8224482906 Enrollment ID: I20231019001786 |
| Provider Name | Bethney Whittington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962956607 PECOS PAC ID: 2668828120 Enrollment ID: I20231019003542 |
| Provider Name | Mark Drake |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982881736 PECOS PAC ID: 9537236120 Enrollment ID: I20231206002033 |
| Provider Name | Nora Joan Winsryg-karasik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942779574 PECOS PAC ID: 7719338441 Enrollment ID: I20240108003179 |
| Provider Name | Whitney Reichel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881139632 PECOS PAC ID: 3577915065 Enrollment ID: I20240119003669 |
| Provider Name | Brock J Prevot |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538512702 PECOS PAC ID: 3678926888 Enrollment ID: I20240124001557 |
| Provider Name | Trish E Dauphin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740831916 PECOS PAC ID: 7911350012 Enrollment ID: I20240124004747 |
| Provider Name | Paige Terrese Utterback |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811581192 PECOS PAC ID: 4587007364 Enrollment ID: I20240208002432 |
| Provider Name | Logan Rae Mumphrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619625167 PECOS PAC ID: 6103269758 Enrollment ID: I20240209003673 |
| Provider Name | Cristina Gonzalez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568012482 PECOS PAC ID: 2062855489 Enrollment ID: I20240213000869 |
| Provider Name | Martha Stephanie Cortez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558996496 PECOS PAC ID: 2466895859 Enrollment ID: I20240213003435 |
| Provider Name | Ronald Paige Oliver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356574818 PECOS PAC ID: 6305280710 Enrollment ID: I20240213004450 |
| Provider Name | Danielle E Petroni |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356706311 PECOS PAC ID: 3971967951 Enrollment ID: I20240214001886 |
| Provider Name | Nathan P Hennick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093138968 PECOS PAC ID: 4981048956 Enrollment ID: I20240217000103 |
| Provider Name | Paisley C Balthazar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578006326 PECOS PAC ID: 1153765078 Enrollment ID: I20240220000809 |
| Provider Name | Sharon Ann Normand |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164971347 PECOS PAC ID: 7719321637 Enrollment ID: I20240220001046 |
| Provider Name | Cody E Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053966861 PECOS PAC ID: 4688019417 Enrollment ID: I20240301003122 |
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