Active NPI
Lauren Zebrowski Davis, NURSE PRACTITIONER
- Pediatric Nurse Practitioner
- Slidell, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN051372-AP06471
- Practice address
- 310 Gateway Dr Ste B
Slidell, LA 70461-5540 - Phone
- (985) 641-1419
- Fax
- (985) 645-0230
- NPI assigned
- Oct 20, 2011
- Last updated
- Sep 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN051372-AP06471 | LA | Primary |
Addresses
Primary practice location
310 Gateway Dr Ste B
Slidell, LA 70461-5540
Mailing address
310 Gateway Dr Ste B
Slidell, LA 70461-5540
Phone (985) 641-1419
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2167430 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN051372-AP06471 | LA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Hospital Medical Practice Corporation | Pediatrics | Current | Accepting new patients |
Locations
141 Ormond Center Ct
Destrehan, LA 70047
Phone (985) 764-7337
3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880
200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860
3020 Gause Blvd E
Slidell, LA 70461
Phone (985) 643-3033
Organizations & group practices 1
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.
-
- Pediatrics Physician
- New Orleans, LA
- NPI 1821090713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347580800000",
"number": "1083999064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 GATEWAY DR STE B",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704615540",
"telephone_number": "985-641-1419",
"fax_number": "985-645-0230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 GATEWAY DR STE B",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704615540",
"telephone_number": "985-641-1419",
"fax_number": "985-645-0230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "LAUREN",
"middle_name": "ZEBROWSKI",
"name_prefix": "Mrs.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-20",
"last_updated": "2012-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "LA",
"license": "RN051372-AP06471",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2167430",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.