NPIMap

Individual provider Active NPI

William Dureau Dart Jr., FNP

  • Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1194904193
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP05303 Issued in LA
Practice address
5439 Airline Hwy
Baton Rouge, LA 70805-1712
Phone
(225) 765-7163
Fax
(225) 765-7164
NPI assigned
Oct 26, 2007
Last updated
Mar 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP05303 LA Primary
Family Nurse Practitioner 363LF0000X AP05303 LA

Addresses

Primary practice location

5439 Airline Hwy
Baton Rouge, LA 70805-1712

Mailing address

2051 Silverside Dr
Suite 260
Baton Rouge, LA 70808-9005
Phone (225) 490-6309

Other practice location 1

11990 Jackson St
Clinton, LA 70722-3210
Phone (225) 683-5292 ext. 10229

Other identifiers 2

IdentifierTypeStateIssuer
1035955MedicaidLA
P00736280OtherLARAILROAD THRU PEPA

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0830.epihosted.com/FHIRPoxy/api/FHIR/DSTU2/ Other
Direct Messaging Address wdart8500@direct.casso.us.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080325000311 LA Practitioner - Nurse Practitioner 7012093545 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11990 Jackson St
Clinton, LA 70722-3210
Phone (225) 683-5292

5439 Airline Hwy
Baton Rouge, LA 70805-1712
Phone (225) 358-4853

7777 Hennessy Blvd
Baton Rouge, LA 70808-4363

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Physician Group LLC Nurse Practitioner Current Accepting new patients
Convenient Care LLC Current Accepting new patients
Convenient Care LLC CurrentSince Dec 1, 2011 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Dec 1, 2014 Accepting new patients
East Baton Rouge Emergency Physicians Group, LLC CurrentSince Aug 1, 2019 Accepting new patients
Primary Care Providers for a Healthy Feliciana, Inc CurrentSince Oct 1, 2009 Accepting new patients
Primary Care Providers for a Healthy Feliciana Inc CurrentSince Oct 1, 2009 Accepting new patients
Convenient Care LLC CurrentSince Dec 1, 2011 Accepting new patients
Our Lady of the Lake Physician Group, LLC CurrentSince Dec 1, 2014 Accepting new patients
C & M Medical Services, Inc. CurrentSince May 1, 2016 Accepting new patients
Primary Care Providers for a Healthy Feliciana, Inc. Current Accepting new patients
Primary Care Providers for a Healthy Feliciana, Inc. Past Accepting new patients
Primary Care Providers for a Healthy Feliciana Inc Past Accepting new patients
Primary Care Providers for a Healthy Feliciana, Inc Past Accepting new patients
Primary Care Providers for a Healthy Feliciana, Inc Past Accepting new patients

Locations

12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857

1401 N Foster Dr
Baton Rouge, LA 70806
Phone (225) 987-9000

2051 Silverside Dr
Ste 260
Baton Rouge, LA 70808
Phone (225) 490-6301

455 E Airport Ave
Baton Rouge, LA 70806
Phone (225) 201-0950

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

5439 Airline Hwy
Baton Rouge, LA 70805
Phone (225) 358-2280

10410 Plank Rd
Clinton, LA 70722
Phone (225) 683-8877

11990 Jackson St
Clinton, LA 70722
Phone (225) 570-6111

28315 S Frost Rd
Livingston, LA 70754
Phone (225) 283-1356

54016 Highway 1062
Loranger, LA 70446
Phone (985) 606-9000

2202 False River Dr
New Roads, LA 70760
Phone (225) 638-5702

3553 Rosedale Rd
Port Allen, LA 70767
Phone (225) 234-0227

610 N Jefferson Ave
Port Allen, LA 70767
Phone (225) 267-6626

6300 Main St
Zachary, LA 70791
Phone (225) 570-2618

Interoperability endpoints

  • Direct secure messaging: wdart8500@direct.casso.us.com
  • Direct secure messaging: william.dart.p1@direct.rkmprimarycare.nextgenshare.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 7

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": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1194904193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 SILVERSIDE DR",
            "address_2": "SUITE 260",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708089005",
            "telephone_number": "225-490-6309",
            "fax_number": "225-765-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5439 AIRLINE HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708051712",
            "telephone_number": "225-765-7163",
            "fax_number": "225-765-7164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11990 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "LA",
            "postal_code": "707223210",
            "country_code": "US",
            "telephone_number": "225-683-5292 x10229",
            "fax_number": "225-683-1310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DART",
        "first_name": "WILLIAM",
        "middle_name": "DUREAU",
        "name_suffix": "Jr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-26",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP05303",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP05303",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1035955",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD THRU PEPA",
            "identifier": "P00736280",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epihosted.com/FHIRPoxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "5439 Airline Hwy",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708051712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wdart8500@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-EPIC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "wdart8500@direct.casso.us.com",
            "address_1": "5439 Airline Hwy",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708051712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.