Individual provider Active NPI

Anita Jenine Dabon, FNP-C

  • Family Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1265825723
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APO7841 Issued in LA
Practice address
1516 Jefferson Hwy
New Orleans, LA 70121-2429
Phone
(504) 842-4096
Fax
(504) 842-3327
NPI assigned
Mar 9, 2015
Last updated
Jun 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APO7841 LA Primary

Addresses

Primary practice location

1516 Jefferson Hwy
New Orleans, LA 70121-2429

Mailing address

1516 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4096

Other identifiers 2

IdentifierTypeStateIssuer
2386069MedicaidLA
01650066MedicaidMS

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
I20150422002088 LA Practitioner - Nurse Practitioner 5092033019 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APO7841LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince May 11, 2015 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Aug 9, 2017 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Aug 9, 2017 Accepting new patients
Ochsner Clinic LLC CurrentSince May 11, 2015 Accepting new patients

Locations

1319 Jefferson Hwy
New Orleans, LA 70121

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1430 Tulane Ave
Ste 1545
New Orleans, LA 70112
Phone (504) 988-4325

1514 Jefferson Hwy
New Orleans, LA 70121

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1265825723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4096",
            "fax_number": "504-842-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4096",
            "fax_number": "504-842-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABON",
        "first_name": "ANITA",
        "middle_name": "JENINE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "APO7841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2386069",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01650066",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.