Individual provider Active NPI

Danielle Marie Cavalier, NP

  • Family Medicine Physician
  • Paincourtville, LA
National Provider Identifier
1205476017
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
210940 Issued in LA
Practice address
114 Hwy 403
Paincourtville, LA 70391
Phone
(985) 369-6070
Fax
(985) 369-3514
NPI assigned
Jan 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 210940 LA Primary

Addresses

Primary practice location

114 Hwy 403
Paincourtville, LA 70391

Mailing address

104 Billie St
Belle Rose, LA 70341-5654
Phone (985) 513-0616

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Danielle.domingue@thibodaux.com Direct

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
I20200228001917 LA Practitioner - Nurse Practitioner 8628405842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3928 Hwy 70 S
Pierre Part, LA 70339-4460
Phone (985) 252-1111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.55 of 100Reported as group
Quality
67.62
Promoting interoperability
100
Improvement activities
40
Cost
71.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
210940LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thibodaux Regional Network Development Corporation Current Accepting new patients
Thibodaux Regional Network Development Corporation CurrentSince Jan 1, 2020 Accepting new patients
Thibodaux Regional Network Development Corporation Family Medicine CurrentSince Jan 1, 2020 Accepting new patients
Thibodaux Regional Network Development Corporation Past Accepting new patients

Locations

3928 Highway 70 S
Pierre Part, LA 70339
Phone (985) 252-1111

602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544

608 N Acadia Rd
Fl 3
Thibodaux, LA 70301
Phone (985) 449-4642

Organizations & group practices 4

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.

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": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1205476017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BILLIE ST",
            "city": "BELLE ROSE",
            "state": "LA",
            "postal_code": "703415654",
            "telephone_number": "985-513-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 HWY 403",
            "city": "PAINCOURTVILLE",
            "state": "LA",
            "postal_code": "70391",
            "telephone_number": "985-369-6070",
            "fax_number": "985-369-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALIER",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "210940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Danielle.domingue@thibodaux.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "114 Hwy 403",
            "city": "Paincourtville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "70391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Paincourtville, LA

Sources for this page

Verify at the official NPI Registry.