NPIMap

Organization Active NPI

Sentinel

  • Family Health Clinical Nurse Specialist
  • New Orleans, LA
National Provider Identifier
1114308913
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
AP07786 Issued in LA
Legal business name
SENTINEL
Practice address
3405 Saint Claude Ave
New Orleans, LA 70117-6144
Phone
(504) 258-6721
NPI assigned
Jun 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Authorized official

Name
Sebreana M Domingue, MBA
Title
Owner
Phone
(504) 258-6721

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 13528R LA
Family Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SF0001X AP07786 LA Primary

Addresses

Primary practice location

3405 Saint Claude Ave
New Orleans, LA 70117-6144

Mailing address

3405 Saint Claude Ave
New Orleans, LA 70117-6144
Phone (504) 258-6721

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1114308913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 SAINT CLAUDE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701176144",
            "telephone_number": "504-258-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 SAINT CLAUDE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701176144",
            "telephone_number": "504-258-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTINEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "DOMINGUE",
        "authorized_official_first_name": "SEBREANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-258-6721",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "13528R",
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "LA",
            "license": "AP07786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.