Turkesa Henderson Dotson, APRN
Individual provider Active NPI Family Nurse Practitioner · Port Allen, LA
NPI 1043798713 · NPPES record last updated Aug 3, 2018
Key facts
- NPI
- 1043798713
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 10081 (LA)
- Practice address
- 6956 Hwy 190 W
Port Allen, LA 70767-4754 - Phone
- (225) 692-9007
- NPI assigned
- Aug 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201210000427 | LA | Practitioner - Nurse Practitioner | 7012329394 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10081 | LA | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10081 | LA | Yes |
Addresses
Primary practice location
6956 Hwy 190 W
Port Allen, LA 70767-4754
Mailing address
6956 Hwy 190 W
Port Allen, LA 70767-4754
Phone (225) 692-9007
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007148382 | Other | LA | DRIVER'S LICENSE |
Other providers in Port Allen, LA
- Allison Morgan David
- Haley B David
- Rebecca F Davis
- De'Shanae Renae Dean
- DHH/Oph
- Raven E Dunlap
- Justin Deanthony Dyer
- Eagle Transit, LLC
- Empowerment Consultants, LLC
- James Escort
All providers in Port Allen, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.