NORTHSHORE PROVIDER GROUP LLC
NPI 1285180158
Nurse Practitioner in Hammond, LA

Q: What is Northshore Provider Group LLC's NPI number?

The NPI number for Northshore Provider Group LLC is 1285180158. It was assigned to this organization in the NPPES registry on August 30, 2016.

Q: What is Northshore Provider Group LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since August 30, 2016

48529 RED FOX DR, HAMMOND, LA 70401(337) 315-9686 Get Directions Write a Review

NPPES record last updated: August 30, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Northshore Provider Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHSHORE PROVIDER GROUP LLC (NPI 1285180158) is a healthcare organization registered as a nurse practitioner in Hammond, Louisiana and active in the NPI registry since August 2016. The organization lists James I Mathews, Owner, as its authorized official.

NPPES Registry Identity

NPI1285180158

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameNORTHSHORE PROVIDER GROUP LLC

Location Address48529 RED FOX DRHammond, LA 70401-3715

Mailing AddressPo Box 1063Hammond, LA 70404-1063 · (337) 315-9686

Phone(337) 315-9686

Organization SubpartNo

Authorized OfficialJames I MathewsOwner · (337) 315-9686

Enumeration DateAugust 30, 2016

✔ NPI 1285180158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedSkilled Nursing FacilityTaxonomy 314000000X

48529 RED FOX DR, Hammond, LA 70401

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northshore Provider Group LLC's NPI number?

The NPI number for Northshore Provider Group LLC is 1285180158. It was assigned to this organization in the NPPES registry on August 30, 2016.

Where is Northshore Provider Group LLC located?

Northshore Provider Group LLC is located at 48529 Red Fox Dr, Hammond, LA 70401. The listed phone number is (337) 315-9686.

What is Northshore Provider Group LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Northshore Provider Group LLC was last updated on August 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.