Organization Active NPI

Gerald's Heart Behavorial Specialists

  • Psychiatric/Mental Health Nurse Practitioner
  • Gonzales, LA
National Provider Identifier
1215795059
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
GERALD'S HEART BEHAVORIAL SPECIALISTS
Doing business as
Gerald's Heart Behavorial Specialists
Practice address
711 E Ascension St
Gonzales, LA 70737-3028
Phone
(504) 982-7702
NPI assigned
Mar 7, 2024
Last updated
Mar 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Darria Moore, PMHNP
Title
Owner
Phone
(504) 982-7702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

711 E Ascension St
Gonzales, LA 70737-3028

Mailing address

6402 Soaring Dr
Gonzales, LA 70737-8652
Phone (504) 982-7702

Other names 1

  • Gerald's Heart Behavorial Specialists Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1215795059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 SOARING DR",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707378652",
            "telephone_number": "504-982-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E ASCENSION ST",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707373028",
            "telephone_number": "504-982-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD'S HEART BEHAVORIAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DARRIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-982-7702",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gerald's Heart Behavorial Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.