Individual provider Active NPI

Patricia Garner Dalferes, N.P.

  • Family Nurse Practitioner
  • Hammond, LA
National Provider Identifier
1003869942
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN083034-AP02346 Issued in LA
Practice address
1402S Magnolia St a
Hammond, LA 70403-5020
Phone
(985) 247-4567
Fax
(985) 269-7091
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN083034-AP02346 LA Primary

Addresses

Primary practice location

1402S Magnolia St a
Hammond, LA 70403-5020

Mailing address

1402 South Magnolia Street
Suite a
Hammond, LA 70403
Phone (985) 247-4567

Other identifiers 1

IdentifierTypeStateIssuer
1141232MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN083034-AP02346LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multipractice Clinic Past Accepting new patients
Medical Specialists of New Orleans Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1003869942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 SOUTH MAGNOLIA STREET",
            "address_2": "SUITE A",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70403",
            "telephone_number": "985-247-4567",
            "fax_number": "985-269-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402S MAGNOLIA ST A",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035020",
            "telephone_number": "985-247-4567",
            "fax_number": "985-269-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALFERES",
        "first_name": "PATRICIA",
        "middle_name": "GARNER",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN083034-AP02346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1141232",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.