Organization Active NPI

Danielle J Threatts Aprn LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1114558715
Registry record updated Feb 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
DANIELLE J THREATTS APRN LLC
Practice address
208 W Gloria Switch Rd Ste 219
Lafayette, LA 70507-3409
Phone
(337) 520-2431
NPI assigned
Feb 1, 2020
Last updated
Feb 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2020

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

Authorized official

Name
Danielle J Threatts, APRNNPI 1033465778
Title
Owner
Phone
(337) 458-1147

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

208 W Gloria Switch Rd Ste 219
Lafayette, LA 70507-3409

Mailing address

405 N Parkerson St
Rayne, LA 70578-6544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200521001804 LA Part B Supplier - Clinic/Group Practice 8820419112 Receives reassigned benefits from 1 practitioner
Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory

Locations

208 W Gloria Switch Rd
Ste 206
Lafayette, LA 70507
Phone (337) 735-1689

208 W Gloria Switch Rd
Ste 219
Lafayette, LA 70507
Phone (337) 520-2431

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1580515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580515200000",
    "number": "1114558715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N PARKERSON ST",
            "city": "RAYNE",
            "state": "LA",
            "postal_code": "705786544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W GLORIA SWITCH RD STE 219",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705073409",
            "telephone_number": "337-520-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELLE J THREATTS APRN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-01",
        "last_updated": "2020-02-01",
        "certification_date": "2020-02-01",
        "status": "A",
        "authorized_official_last_name": "THREATTS",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-458-1147",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.