MEDICARE: MRS. KENNEDY GRACE-ANNE MOORE-WILLIAMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	350870	LA

General Provider Information

NPI Number	:	1457231532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KENNEDY GRACE-ANNE MOORE-WILLIAMS

Provider Business Mailing Address
First Line	:	200 HENRY CLAY AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70118-5720
Country	:	US
Telephone Number	:	504-899-9511
Fax Number	:	504-527-9950

Provider Business Practice Location Address
First Line	:	200 HENRY CLAY AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70118-5720
Country	:	US
Telephone Number	:	504-899-9511
Fax Number	:	504-527-9950

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2025
Last Update Date	:	03/16/2026

Similar Medicare Providers

1447033881 — JARED ANTHONY BATISTE APRN-CNP
Practice Location Address:

200 HENRY CLAY AVE
NEW ORLEANS, LA
70118-5720

Practice Phone: 504-896-2061
Practice Fax:

1922869130 — CAITLIN BIENVENU
Practice Location Address:

200 HENRY CLAY AVE
NEW ORLEANS, LA
70118-5720

Practice Phone: 504-896-4474
Practice Fax:

1821090713 — CHILDRENS HOSPITAL MEDICAL PRACTICE CORPORATION
Practice Location Address:

298 HENRY CLAY AVE
NEW ORLEANS, LA
70118-5720

Practice Phone: 504-896-9827
Practice Fax: 504-894-5370

1073505632 — THOMAS H CARSON M.D.
Practice Location Address:

200 HENRY CLAY AVE , CHILDREN'S HOSPITAL- DEPARTMENT OF PATHOLOGY
NEW ORLEANS, LA
70118-5720

Practice Phone: 504-896-9816
Practice Fax: 504-894-5354

1104819366 — CHILDREN'S HOSPITAL
Practice Location Address:

200 HENRY CLAY AVE
NEW ORLEANS, LA
70118-5720

Practice Phone: 504-896-9511
Practice Fax: 504-896-9700

1316930365 — NEHA H MEHTA M.D.
Practice Location Address:

200 HENRY CLAY AVE , CARE CENTER
NEW ORLEANS, LA
70118-5720

Practice Phone: 504-896-9237
Practice Fax: 504-896-9733

Directions to “ MRS. KENNEDY GRACE-ANNE MOORE-WILLIAMS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.