Individual provider Active NPI

Joseph Defraites, FNP-C

  • Family Nurse Practitioner
  • Metairie, LA
National Provider Identifier
1104381748
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
203531 Issued in LA
Practice address
4320 Houma Blvd
Metairie, LA 70006-2961
Phone
(504) 988-8600
Fax
(504) 988-2690
NPI assigned
Feb 7, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 203531 LA Primary

Addresses

Primary practice location

4320 Houma Blvd
Metairie, LA 70006-2961

Mailing address

PO Box 92
Chalmette, LA 70044-0092
Phone (504) 434-2161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190320001766 LA Practitioner - Nurse Practitioner 2668712183 Reassigns benefits to 4 organizations
I20230505002463 MS Practitioner - Nurse Practitioner 2668712183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Administrators of the Tulane Educational FundGroup PAC ID 0446163760, 388 clinicians

Practice addresses (Care Compare)

1415 Tulane Ave
New Orleans, LA 70112-2600
Phone (504) 988-5800

Hospital & facility affiliations

  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • Touro Infirmary Hospital, New Orleans, LA, CCN 190046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
203531LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Thomas Community Health Center, Inc CurrentSince Oct 1, 2023 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Mar 8, 2021 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Jan 18, 2023 Accepting new patients
St. Thomas Community Health Center, Inc. CurrentSince Oct 1, 2023 Accepting new patients
St. Thomas Community Health Center, Inc. Current Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Mar 8, 2021 Accepting new patients
Wound Care Associates LLC CurrentSince Jan 21, 2019 Accepting new patients
St. Thomas Community Health Center, Inc Past Accepting new patients
St. Thomas Community Health Center, Inc. Past Accepting new patients
St. Thomas Community Health Center, Inc Past Accepting new patients
St. Thomas Community Health Center, Inc. Past Accepting new patients

Locations

20050 Crestwood Blvd
#O
Covington, LA 70433
Phone (985) 867-4008

230 Ochsner Blvd
Gretna, LA 70056

16065 Lamonte Dr
Hammond, LA 70403
Phone (985) 956-7771

4320 Houma Blvd
Ste 603
Metairie, LA 70006

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 582-1416

2014 Magazine St
New Orleans, LA 70130
Phone (504) 529-9115

1936 Magazine St
New Orleans, LA 70130

2000 Canal St
Fl 2
New Orleans, LA 70112
Phone (504) 702-2287

1415 Tulane Ave
Fl 7
New Orleans, LA 70112
Phone (504) 988-5194

3500 Holiday Dr
New Orleans, LA 70114
Phone (504) 367-5724

2000 Magazine St
New Orleans, LA 70130
Phone (504) 529-5888

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1430 Tulane Ave
#8512
New Orleans, LA 70112

1020 Saint Andrew St
New Orleans, LA 70130

460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (601) 203-1016

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1104381748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700440092",
            "telephone_number": "504-434-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 HOUMA BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062961",
            "telephone_number": "504-988-8600",
            "fax_number": "504-988-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFRAITES",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-07",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "203531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.