Deeanna Bennett Beaver, APRN, NP.

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

RN065304 APO1230 Issued in LA

Practice address

165 Corporate Drive
Houma, LA 70360-4154

Phone

(985) 851-1001

Fax

(985) 851-1017

NPI assigned

Oct 21, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Houma OB-GYN Clinic a Medical Corporation

  • Specialist
  • Houma, LA
  • NPI 1659571669
  NPD (past)

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1033109038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 DR. BEATROUS RD.",
            "city": "THERIOT",
            "state": "LA",
            "postal_code": "70397",
            "telephone_number": "985-851-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 CORPORATE DRIVE",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604154",
            "telephone_number": "985-851-1001",
            "fax_number": "985-851-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVER",
        "first_name": "DEEANNA",
        "middle_name": "BENNETT",
        "credential": "APRN, NP.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "LA",
            "license": "RN065304  APO1230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayou Retina Associates, LLC
• Bayou Surgical Specialists, L.L.C.
• Bayouside DME LLC
• Beacon Behavioral Hospital LLC (Beacon Behavioral Outpatient - Houma)
• Erin Beattie, LCSW
• Caroline Becnel
• Lauren Lambert Becnel, M.ED
• Samantha Becnel, COUNSELOR
• Beehive Behavioral Health, LLC
• Kim Thibodeaux Belanger, PD

• Women's Health Nurse Practitioner in Houma, LA
• Providers in Houma, LA by specialty
• Women's Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.