Individual provider Active NPI

Rebecca B Donohue

  • Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1124108501
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN087175 AP03613 Issued in LA
Practice address
500 Juliette Place
Lafayette, LA 70506
Phone
(337) 232-2520
Fax
(337) 232-9759
NPI assigned
Oct 17, 2006
Last updated
Nov 29, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN087175 AP03613 LA Primary

Addresses

Primary practice location

500 Juliette Place
Lafayette, LA 70506

Mailing address

500 Juliette Place
Lafayette, LA 70506
Phone (337) 232-2520

Other identifiers 1

IdentifierTypeStateIssuer
1432687MedicaidLA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110224000950 LA Practitioner - Nurse Practitioner 0143401018 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1211 Coolidge Blvd
Suite 404
Lafayette, LA 70503-2638
Phone (337) 769-2531

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7991

1305 Crowley Rayne Hwy
Suite 200
Crowley, LA 70526-8202
Phone (337) 788-6545

2390 W Congress St
Lafayette, LA 70506-4205
Phone (337) 261-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN087175 AP03613LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette General Medical Center Inc. CurrentSince Oct 1, 2013 Accepting new patients
Lafayette Health Ventures Inc CurrentSince Dec 19, 2010 Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
University Hospital & Clinics, Inc. CurrentSince Aug 7, 2013 Accepting new patients
Lafayette General Medical Center Inc. CurrentSince Oct 1, 2013 Accepting new patients
Lafayette Health Ventures, Inc CurrentSince Dec 19, 2010 Accepting new patients
University Hospital & Clinics Inc CurrentSince Aug 7, 2013 Accepting new patients
Louis C. Blanda, Jr., MD, Apmc Past Accepting new patients
L Glen Mire MD Inc Past Accepting new patients
Lsuhn Billing LLC Past Accepting new patients
Lafayette Health Ventures, Inc Past Accepting new patients
Acadiana Medical Oncology LLC Past Accepting new patients

Locations

118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466

1305 Crowley Rayne Hwy
#200
Crowley, LA 70526
Phone (337) 788-6545

1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222

1211 Coolidge Blvd
Ste 100
Lafayette, LA 70503
Phone (337) 234-5234

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

1216 Camellia Blvd
Lafayette, LA 70508
Phone (337) 769-0069

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

443 Heymann Blvd
Ste B
Lafayette, LA 70503
Phone (337) 232-2520

Interoperability endpoints

  • Direct secure messaging: rdonihue1441377@direct.ochsner.org

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1124108501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 JULIETTE PLACE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70506",
            "telephone_number": "337-232-2520",
            "fax_number": "337-232-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 JULIETTE PLACE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70506",
            "telephone_number": "337-232-2520",
            "fax_number": "337-232-9759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOHUE",
        "first_name": "REBECCA",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "RN087175  AP03613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1432687",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.