Active NPI
Deanna Joy Daigrepont, MD
- Family Medicine Physician
- Lake Charles, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 324915
- Practice address
- 1890 W. Gauthier Rd
Ste 155
Lake Charles, LA 70605 - Phone
- (337) 480-5550
- Fax
- (337) 480-5568
- NPI assigned
- Jun 1, 2017
- Last updated
- Jul 21, 2022
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | LA | ||
| Family Medicine Physician | 207Q00000X | 324915 | LA | Primary |
Addresses
Primary practice location
1890 W. Gauthier Rd
Ste 155
Lake Charles, LA 70605
Mailing address
PO Box 122539
Dept 2539
Dallas, TX 75312-2539
Phone (337) 494-2772
Other practice location 1
1525 Oak Park Blvd
Lake Charles, LA 70601-8849
Phone (337) 494-6767
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | family-aster@mmg.imed.phimailbox.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Billings Clinic | Current | Accepting new patients | |
| Roundup Memorial Hospital Association | Current | Accepting new patients | |
| Roundup Memorial Hospital Association | Current | Accepting new patients |
Locations
1202 3rd St W
Roundup, MT 59072
Phone (406) 323-2301
1207 2nd St W
Roundup, MT 59072
Phone (406) 323-2301
Interoperability endpoints
- ddaigrepont@billingsclinic.cernerdirect.com
- family-aster@mmg.imed.phimailbox.com
Organizations & group practices 3
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.
-
dba Billings Clinic Hospital
- General Acute Care Hospital
- Billings, MT
- NPI 1265478291
-
dba Roundup Memorial Healthcare
- Critical Access Hospital
- Roundup, MT
- NPI 1386751196
-
dba Roundup Memorial Healthcare - Clinic
- Rural Health Clinic/Center
- Roundup, MT
- NPI 1902908262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1275061491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 122539",
"address_2": "DEPT 2539",
"city": "DALLAS",
"state": "TX",
"postal_code": "753122539",
"telephone_number": "337-494-2772",
"fax_number": "337-494-6523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1890 W. GAUTHIER RD",
"address_2": "STE 155",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "70605",
"telephone_number": "337-480-5550",
"fax_number": "337-480-5568"
}
],
"practiceLocations": [
{
"address_1": "1525 Oak Park Blvd",
"address_purpose": "LOCATION",
"city": "Lake Charles",
"state": "LA",
"postal_code": "706018849",
"country_code": "US",
"telephone_number": "337-494-6767",
"fax_number": "337-494-6750",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAIGREPONT",
"first_name": "DEANNA",
"middle_name": "JOY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-01",
"last_updated": "2022-07-21",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "324915",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "family-aster@mmg.imed.phimailbox.com",
"affiliation": "N",
"endpointDescription": "direct email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1890 W. GAUTHIER RD",
"address_2": "STE 155",
"city": "LAKE CHARLES",
"state": "LA",
"country_code": "US",
"postal_code": "70605",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.