Active NPI
Dequincy Lashell Self, LPN
- Licensed Practical Nurse
- Greensburg, LA
National Provider Identifier
1093620064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 30002349
- Practice address
- 99 Eula Faye LN
Greensburg, LA 70441-3244 - Phone
- (985) 404-7575
- NPI assigned
- Aug 15, 2026
- Last updated
- Aug 15, 2026
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 30002349 | LA | Primary |
Addresses
Primary practice location
99 Eula Faye LN
Greensburg, LA 70441-3244
Mailing address
99 Eula Faye LN
Greensburg, LA 70441-3244
Phone (985) 404-7575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30002349 | LA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786752000000",
"number": "1093620064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 EULA FAYE LN",
"city": "GREENSBURG",
"state": "LA",
"postal_code": "704413244",
"telephone_number": "985-404-7575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 EULA FAYE LN",
"city": "GREENSBURG",
"state": "LA",
"postal_code": "704413244",
"telephone_number": "985-404-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELF",
"first_name": "DEQUINCY",
"middle_name": "LASHELL",
"name_prefix": "Miss",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-15",
"last_updated": "2026-08-15",
"certification_date": "2026-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "LA",
"license": "30002349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensburg, LA
- Paulesha's Guiding Light Counseling, LLC
- Personal Touch Healthcare Service
- Personal Touch Healthcare Service
- Personal Touch Healthcare Services
- Rose's Transportation Service
- Tyesha Self
- Shaunkiara Singleton
- Solutions Counseling & Behavioral Health, LLC
- Southeast Community Health Systems (Southeast Community Health Systems @ Greensburg)
- Southeast Community Health Systems (Southeast Community Health Systems @ Middle School)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.