Provider Demographics
NPI:1528185154
Name:PIERRE, NAKEISHA LANDRY (MD)
Entity Type:Individual
Prefix:
First Name:NAKEISHA
Middle Name:LANDRY
Last Name:PIERRE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NAKEISHA
Other - Middle Name:RACHELLE
Other - Last Name:LANDRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1415 TULANE AVE
Mailing Address - Street 2:TW-4
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2600
Mailing Address - Country:US
Mailing Address - Phone:504-988-5903
Mailing Address - Fax:504-988-1941
Practice Address - Street 1:1415 TULANE AVE
Practice Address - Street 2:TW-4
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2600
Practice Address - Country:US
Practice Address - Phone:504-988-5903
Practice Address - Fax:504-988-1941
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX512043174400000X
LAMD.025968207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS08378851Medicaid
LA1051586Medicaid
LA4N126CQ68Medicare PIN