Virginia M Pellegrin, N.P.

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

RN086560 Issued in LA

Practice address

509 Dunn St
Houma, LA 70360-4705

Phone

(985) 876-1714

Fax

(985) 868-6549

NPI assigned

Jul 28, 2006

Last updated

Apr 14, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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)
• Michelle M Andre, MD, LLC

  • Specialist
  • Houma, LA
  • NPI 1124108436
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1063426047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 DUNN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604705",
            "telephone_number": "985-876-1714",
            "fax_number": "985-868-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 DUNN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604705",
            "telephone_number": "985-876-1714",
            "fax_number": "985-868-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEGRIN",
        "first_name": "VIRGINIA",
        "middle_name": "M",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "LA",
            "license": "RN086560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1537667",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joni Louise Pellegrin
• Michelle Pellegrin, FNP-C
• Paige Pellegrin, LPC-S
• Timothy J Pellegrin, PMHNP-BC
• Virginia Pellegrin, LCSW
• Tracy Peltier, P.T.
• Erin Haley Pennison, M.D.
• Peoples Drug Store
• Peoples Drug Store (peoples dose servicce)
• Peoples Drug Store

• 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 Apr 14, 2008; 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.