Individual provider Active NPI

Lana G. Divens, RN

  • Registered Nurse
  • Marrero, LA
National Provider Identifier
1194958686
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2606 Issued in LA
Practice address
5001 Westbank Expy
Marrero, LA 70072-2954
Phone
(504) 349-8708
Fax
(504) 349-8703
NPI assigned
Aug 31, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2606 LA Primary

Addresses

Primary practice location

5001 Westbank Expy
Marrero, LA 70072-2954

Mailing address

5001 Westbank Expy
Marrero, LA 70072-2954
Phone (504) 349-8708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2606LAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251676800000",
    "number": "1194958686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 WESTBANK EXPY",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700722954",
            "telephone_number": "504-349-8708",
            "fax_number": "504-349-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 WESTBANK EXPY",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700722954",
            "telephone_number": "504-349-8708",
            "fax_number": "504-349-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVENS",
        "first_name": "LANA",
        "middle_name": "G.",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-31",
        "last_updated": "2009-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "2606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.