Katie Brooke Deshotel, APRN WHNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP08489 Issued in LA

Practice address

805 Cherry St
Mamou, LA 70554-2223

Phone

(337) 468-9011

Fax

(337) 468-2702

NPI assigned

Jan 2, 2018

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Womens Medical and Surgical Clinic, Inc.Group PAC ID 6406996602, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Savoy Medical Center Hospital, Mamou, LA, CCN 190025

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Women's Medical & Surgical Clinic, Inc.

  dba Mamou Ob.Gyn. & Family Health Center

  • Rural Health Clinic/Center
  • Mamou, LA
  • NPI 1972950996

  Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

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.

• Women's Medical & Surgical Clinic, Inc.

  • Obstetrics & Gynecology Physician
  • Mamou, LA
  • NPI 1447483110
  Medicare reassignment Care Compare group NPD
• Women's Medical & Surgical Clinic, Inc.

  dba Mamou Ob.Gyn. & Family Health Center

  • Rural Health Clinic/Center
  • Mamou, LA
  • NPI 1972950996
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Savoy Medical Management Group, Inc.

  dba Savoy Medical Center

  • General Acute Care Hospital
  • Mamou, LA
  • NPI 1255667002
  Care Compare affiliation

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1205343183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 CHERRY ST",
            "city": "MAMOU",
            "state": "LA",
            "postal_code": "705542223",
            "telephone_number": "337-468-9011",
            "fax_number": "337-468-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 CHERRY ST",
            "city": "MAMOU",
            "state": "LA",
            "postal_code": "705542223",
            "telephone_number": "337-468-9011",
            "fax_number": "337-468-2702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Oakdale",
            "state": "LA",
            "postal_code": "714633034",
            "country_code": "US",
            "telephone_number": "318-335-0260",
            "fax_number": "318-335-3356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESHOTEL",
        "first_name": "KATIE",
        "middle_name": "BROOKE",
        "credential": "APRN WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP08489",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "LA",
            "license": "AP08489",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cora Manuel Therapy Services, LLC (Active Physical Rehab)
• Alaina Coreil, APRN-PMHNP
• Jebadiah Cormier, DC
• Rebecca Reed Cormier, PHARM.D.
• Haley Monette Deshotel, O.T.
• Rainee R Deshotel, SLP
• Robin Mark Deshotel, RPH
• Deshotels Drugs, Inc
• Mary Amelia Duncan, APRN, FNP-BC
• Dungarvin Louisiana, LLC

• Nurse Practitioner in Mamou, LA
• Providers in Mamou, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.