Individual provider Active NPI

Donna Michelle Pulliam, FNP-BC

  • Family Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1013389824
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
216033 Issued in LA
Practice address
600 Jefferson St Ste 600
Lafayette, LA 70501-6987
Phone
(337) 202-0720
NPI assigned
Oct 21, 2015
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9455453 FL
Family Nurse Practitioner 363LF0000X 20604 TN
Family Nurse Practitioner 363LF0000X 216033 LA Primary

Addresses

Primary practice location

600 Jefferson St Ste 600
Lafayette, LA 70501-6987

Mailing address

600 Jefferson St Ste 600
Lafayette, LA 70501-6987
Phone (337) 202-0720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210301000662 LA Practitioner - Nurse Practitioner 7810289618 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

10310 The Grove Blvd
Baton Rouge, LA 70836-6455
Phone (225) 761-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20604TNMDAllergy & Immunology Physician
9455453FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Apr 17, 2023 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Apr 5, 2021 Accepting new patients
Ascension Emergency Physicians LLC CurrentSince Jan 21, 2023 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Apr 5, 2021 Accepting new patients
Ochsner Clinic LLC CurrentSince Apr 17, 2023 Accepting new patients
Ahs Walk in Clinic Inc Past Accepting new patients
Neighborhood Medical LLC Past Accepting new patients

Locations

10310 The Grove Blvd
Baton Rouge, LA 70836
Phone (225) 761-5239

650 Arlington Creek Centre Blvd
Ste E
Baton Rouge, LA 70820
Phone (225) 709-2366

1125 W Highway 30
Gonzales, LA 70737
Phone (225) 621-2975

14601 Airline Hwy
Ste 103
Gonzales, LA 70737
Phone (225) 236-5970

600 Jefferson St
Ste 600
Lafayette, LA 70501
Phone (337) 202-0720

1110 E Saint Peter St
New Iberia, LA 70560
Phone (337) 364-1166

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

1918 S Arkansas St
Springhill, LA 71075
Phone (318) 277-2581

Interoperability endpoints

  • Direct secure messaging: mpulliam1775706@direct.ochsner.org

Organizations & group practices 8

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1013389824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 JEFFERSON ST STE 600",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705016987",
            "telephone_number": "337-202-0720",
            "fax_number": "337-465-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 JEFFERSON ST STE 600",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705016987",
            "telephone_number": "337-202-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLIAM",
        "first_name": "DONNA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-21",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9455453",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20604",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "216033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.