Active NPI
Pamela Derbins, MSN FNP
- Nurse Practitioner
- Covington, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP.21381
- Practice address
- 101 Judge Tanner Blvd
Covington, LA 70433-7503 - Phone
- (985) 951-3222
- NPI assigned
- Apr 29, 2021
- Last updated
- Jun 14, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP.21381 | LA | Primary |
| Nurse Practitioner | 363L00000X | RN139427 | LA |
Addresses
Primary practice location
101 Judge Tanner Blvd
Covington, LA 70433-7503
Mailing address
1430 Tulane Ave # 8047
New Orleans, LA 70112-2632
Phone (504) 988-5565
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
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP.21381 | LA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Administrators of the Tulane Educational Fund | Multi-Specialty | Current | Accepting new patients |
| Administrators of the Tulane Educational Fund | Multi-Specialty | Current | Accepting new patients |
| Belle Chasse Physician Services LLC | Multi-Specialty | Current | Accepting new patients |
| Administrators of the Tulane Educational Fund | Multi-Specialty | Current | Accepting new patients |
| Nni Covington LLC | Multi-Specialty | Current | Accepting new patients |
Locations
101 Judge Tanner Blvd
Ste 406
Covington, LA 70433
Phone (985) 892-9143
1970 N Highway 190
Covington, LA 70433
Phone (985) 400-5988
1970 N Highway 190
Ste A
Covington, LA 70433
71211 Highway 21
Ste B
Covington, LA 70433
Phone (985) 893-9922
180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284
1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300
1415 Tulane Ave
Fl 5
New Orleans, LA 70112
Phone (504) 988-1001
1514 Jefferson Hwy
New Orleans, LA 70121
100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131
1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200
Interoperability endpoints
- pderbins2177734@direct.ochsner.org
Organizations & group practices 5
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.
-
dba Tulane University Medical Center NorthShore Clinics
- Specialist
- Covington, LA
- NPI 1245434224
Multi-Specialty
-
dba Tulane University Medical Group
- Specialist
- New Orleans, LA
- NPI 1528014164
Multi-Specialty
-
- Hospitalist Physician
- Terrytown, LA
- NPI 1245653237
Multi-Specialty
-
- Specialist
- Hattiesburg, MS
- NPI 1033395298
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1093398810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 TULANE AVE # 8047",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122632",
"telephone_number": "504-988-5565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 JUDGE TANNER BLVD",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337503",
"telephone_number": "985-951-3222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERBINS",
"first_name": "PAMELA",
"credential": "MSN FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-29",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "AP.21381",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "RN139427",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.