Active NPI
Rebecca Golden Daniels, CPNP
- Family Nurse Practitioner
- Hammond, LA
National Provider Identifier
1215037288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R664731
- Practice address
- 42440 Pelican Professional Park
North Oaks Pediatric Clinic, LLP
Hammond, LA 70403 - Phone
- (985) 542-4950
- Fax
- (985) 542-6089
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R664731 | MS | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | AP04012/RN102076 | LA |
Addresses
Primary practice location
42440 Pelican Professional Park
North Oaks Pediatric Clinic, LLP
Hammond, LA 70403
Mailing address
42440 Pelican Professional Park
North Oaks Pediatric Clinic, LLP
Hammond, LA 70403
Phone (985) 542-4950
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1691691 | Medicaid | LA | |
| 04772801 | Medicaid | MS |
Other names 1
- Becky G. Daniels
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)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP04012/RN102076 | LA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318464000000",
"number": "1215037288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42440 PELICAN PROFESSIONAL PARK",
"address_2": "NORTH OAKS PEDIATRIC CLINIC, LLP",
"city": "HAMMOND",
"state": "LA",
"postal_code": "70403",
"telephone_number": "985-542-4950",
"fax_number": "985-542-6089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42440 PELICAN PROFESSIONAL PARK",
"address_2": "NORTH OAKS PEDIATRIC CLINIC, LLP",
"city": "HAMMOND",
"state": "LA",
"postal_code": "70403",
"telephone_number": "985-542-4950",
"fax_number": "985-542-6089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "REBECCA",
"middle_name": "GOLDEN",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2011-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R664731",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "LA",
"license": "AP04012/RN102076",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1691691",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04772801",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BECKY",
"last_name": "DANIELS",
"middle_name": "G.",
"credential": "CPNP",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.