Individual provider Active NPI

Danielle Jackson Threatts

  • Psychiatric/Mental Health Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1033465778
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP07019 Issued in LA
Practice address
105 Independence Blvd Ste 1
Lafayette, LA 70506-8710
Phone
(337) 534-4087
NPI assigned
Jul 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP07019 LA Primary

Addresses

Primary practice location

105 Independence Blvd Ste 1
Lafayette, LA 70506-8710

Mailing address

405 N Parkerson St
Rayne, LA 70578-6544
Phone (337) 534-4087

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
I20130923000464 LA Practitioner - Nurse Practitioner 2860636388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

208 W Gloria Switch Rd
Suite 206
Lafayette, LA 70507-3409
Phone (337) 735-1689

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP07019LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Danielle J Threatts Aprn LLC Psychiatric/Mental Health CurrentSince May 15, 2020 Accepting new patients
Curana Health of Louisiana LLC Past Accepting new patients

Locations

2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895

208 W Gloria Switch Rd
Ste 219
Lafayette, LA 70507
Phone (337) 520-2431

208 W Gloria Switch Rd
Ste 206
Lafayette, LA 70507
Phone (337) 735-1689

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1033465778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N PARKERSON ST",
            "city": "RAYNE",
            "state": "LA",
            "postal_code": "705786544",
            "telephone_number": "337-534-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 INDEPENDENCE BLVD STE 1",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705068710",
            "telephone_number": "337-534-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THREATTS",
        "first_name": "DANIELLE",
        "middle_name": "JACKSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP07019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.