Active NPI
Dametra Danielle Taylor, FNP
- Family Nurse Practitioner
- Many, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP09786
- Practice address
- 1050 N Robinson St
Many, LA 71449-3536 - Phone
- (318) 256-8150
- Fax
- (318) 256-8136
- NPI assigned
- Feb 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP09786 | LA | Primary |
Addresses
Primary practice location
1050 N Robinson St
Many, LA 71449-3536
Mailing address
806 Jefferson Ter
New Iberia, LA 70560-5727
Phone (337) 365-4945
Other practice location 1
506 Shady Ln
Deridder, LA 70634-4248
Phone (337) 793-7465
Other practice location 2
567 Walker St
Merryville, LA 70653-3040
Phone (337) 825-1728
Other practice location 3
298 Nolan Trace Pkwy
Leesville, LA 71446
Phone (337) 392-0110
Other practice location 4
806 Jefferson Ter
New Iberia, LA 70560-5727
Phone (337) 365-4945
Other practice location 5
1009 Charity St
Abbeville, LA 70510-5302
Phone (337) 893-3443
Other practice location 6
317 Dernier St
Saint Martinville, LA 70582-3809
Phone (337) 342-2566
Other practice location 7
1004 Surrey St
Lafayette, LA 70501-6143
Phone (337) 456-6768
Other practice location 8
1002 12th St
Lafayette, LA 70501-6224
Phone (337) 534-0107
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2479521 | Medicaid | LA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181004002821 | LA | Practitioner - Nurse Practitioner | 5092067876 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Outpatient Medical Center, Inc.
Practice addresses (Care Compare)
1640 Breazeale Springs St
Nachitoches, LA 71457-4278
Phone 31835720713205
908 S 10TH St
Suite B
Leesville, LA 71446-4614
Phone (318) 574-1453
Hospital & facility affiliations
- Lagniappe Homecare Northwest Louisiana
- Natchitoches Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP09786 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iberia Comprehensive Community Health Center, Inc. | Current | Accepting new patients | |
| Iberia Comprehensive Community Health Center,Inc. | Current | Accepting new patients | |
| Iberia Comprehensive Community Health Center, Inc. | Current | Accepting new patients | |
| Outpatient Medical Center, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Outpatient Medical Center, Inc. | Nurse Practitioner | Past | Accepting new patients |
Locations
1009 Charity St
Abbeville, LA 70510
Phone (337) 893-3443
1002 12th St
Lafayette, LA 70501
Phone (337) 534-0107
1004 Surrey St
Lafayette, LA 70501
Phone (337) 456-6768
298 Nolan Trce
Leesville, LA 71446
Phone (337) 392-0110
908 S 10th St
#B
Leesville, LA 71446
Phone (337) 238-1274
1050 N Robinson St
Many, LA 71449
Phone (318) 256-8150
567 Walker St
Merryville, LA 70653
Phone (337) 365-4945
1640 Breazeale Springs St
Natchitoches, LA 71457
Phone (318) 352-9299
1500 Gold St
Natchitoches, LA 71457
Phone (318) 352-2369
806 Jefferson Ter
New Iberia, LA 70560
Phone (337) 365-4945
317 Dernier St
Saint Martinville, LA 70582
Phone (337) 342-2566
804 N Beech St
Tallulah, LA 71282
Phone (318) 574-1453
Interoperability endpoints
- dametra.taylor.1@29100.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Natchitoches, LA
- NPI 1871523266
LA, Nurse Practitioner
-
- Federally Qualified Health Center (FQHC)
- New Iberia, LA
- NPI 1922046549
LA
-
- Federally Qualified Health Center (FQHC)
- Leesville, LA
- NPI 1285664508
Nurse Practitioner
-
- Federally Qualified Health Center (FQHC)
- Tallulah, LA
- NPI 1750311064
-
- Federally Qualified Health Center (FQHC)
- Abbeville, LA
- NPI 1134166556
-
- Federally Qualified Health Center (FQHC)
- Deridder, LA
- NPI 1457235368
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Natchitoches, LA
- NPI 1760578140
-
- Rural Health Clinic/Center
- Campti, LA
- NPI 1093933897
Hospital
-
- Obstetrics & Gynecology Physician
- Natchitoches, LA
- NPI 1568897692
Hospital
-
- General Acute Care Hospital
- Natchitoches, LA
- NPI 1639243967
Hospital
-
- General Acute Care Hospital
- Natchitoches, LA
- NPI 1689676835
Hospital
-
- Clinic/Center
- Natchitoches, LA
- NPI 1821414897
Hospital
-
- Radiation Oncology Physician
- Natchitoches, LA
- NPI 1972171072
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571702400000",
"number": "1013416007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 JEFFERSON TER",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705605727",
"telephone_number": "337-365-4945",
"fax_number": "337-376-6860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 N ROBINSON ST",
"city": "MANY",
"state": "LA",
"postal_code": "714493536",
"telephone_number": "318-256-8150",
"fax_number": "318-256-8136"
}
],
"practiceLocations": [
{
"address_1": "506 Shady Ln",
"address_purpose": "LOCATION",
"city": "Deridder",
"state": "LA",
"postal_code": "706344248",
"country_code": "US",
"telephone_number": "337-793-7465",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "567 Walker St",
"address_purpose": "LOCATION",
"city": "Merryville",
"state": "LA",
"postal_code": "706533040",
"country_code": "US",
"telephone_number": "337-825-1728",
"fax_number": "337-825-1229",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "298 Nolan Trace Pkwy",
"address_purpose": "LOCATION",
"city": "Leesville",
"state": "LA",
"postal_code": "71446",
"country_code": "US",
"telephone_number": "337-392-0110",
"fax_number": "337-392-0111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "806 Jefferson Ter",
"address_purpose": "LOCATION",
"city": "New Iberia",
"state": "LA",
"postal_code": "705605727",
"country_code": "US",
"telephone_number": "337-365-4945",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1009 Charity St",
"address_purpose": "LOCATION",
"city": "Abbeville",
"state": "LA",
"postal_code": "705105302",
"country_code": "US",
"telephone_number": "337-893-3443",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "317 Dernier St",
"address_purpose": "LOCATION",
"city": "Saint Martinville",
"state": "LA",
"postal_code": "705823809",
"country_code": "US",
"telephone_number": "337-342-2566",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1004 Surrey St",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "LA",
"postal_code": "705016143",
"country_code": "US",
"telephone_number": "337-456-6768",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1002 12th St",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "LA",
"postal_code": "705016224",
"country_code": "US",
"telephone_number": "337-534-0107",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "DAMETRA",
"middle_name": "DANIELLE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-06",
"last_updated": "2019-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP09786",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2479521",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Many, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.