Individual provider Active NPI

Anna Lynn Villanueva, APRN

  • Family Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1144732678
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09585 Issued in LA
Practice address
3201 S Carrollton Ave
New Orleans, LA 70118-4307
Phone
(504) 207-3060
NPI assigned
Oct 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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 AP09585 LA Primary

Addresses

Primary practice location

3201 S Carrollton Ave
New Orleans, LA 70118-4307

Mailing address

3201 S Carrollton Ave
New Orleans, LA 70118-4307
Phone (504) 207-3060

Other identifiers 1

IdentifierTypeStateIssuer
2458272MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anna.villanueva@dcsno.org

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
I20180108000154 LA Practitioner - Nurse Practitioner 0749549301 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marillac Community Health Centers CurrentSince Jan 9, 2018 Accepting new patients
Marillac Community Health Centers CurrentSince Jan 9, 2018 Accepting new patients
Priority Health Care CurrentSince Nov 19, 2023 Accepting new patients
Marillac Community Health Centers Current Accepting new patients
Priority Health Care CurrentSince Nov 19, 2023 Accepting new patients
Priority Health Care Past Accepting new patients

Locations

12A Westbank Expy
Ste 101
Gretna, LA 70053
Phone (504) 509-5437

12 Westbank Expy
Gretna, LA 70053
Phone (504) 368-3100

12A Westbank Expy
Ste 100
Gretna, LA 70053
Phone (504) 361-0234

4700 Wichers Dr
Ste 304305
Marrero, LA 70072
Phone (504) 309-3262

4700 Wichers Dr
Ste 304
Marrero, LA 70072
Phone (504) 309-3262

4700 Wichers Dr
#304305
Marrero, LA 70072
Phone (504) 309-3262

4700 Wichers Dr
Ste 306
Marrero, LA 70072
Phone (504) 309-3262

111 N Causeway Blvd
Metairie, LA 70001
Phone (504) 482-0084

3201 S Carrollton Ave
New Orleans, LA 70118
Phone (504) 207-3019

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1144732678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 S CARROLLTON AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701184307",
            "telephone_number": "504-207-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S CARROLLTON AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701184307",
            "telephone_number": "504-207-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "ANNA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2458272",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anna.villanueva@dcsno.org",
            "affiliation": "N",
            "address_1": "3201 S Carrollton Ave",
            "city": "New Orleans",
            "state": "LA",
            "country_code": "US",
            "postal_code": "701184307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.