Individual provider Active NPI

Deanna Joy Daigrepont, MD

  • Family Medicine Physician
  • Lake Charles, LA
National Provider Identifier
1275061491
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
324915 Issued in LA
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic Current Accepting new patients
Roundup Memorial Hospital Association CurrentSince Jan 8, 2022 Accepting new patients
Roundup Memorial Hospital Association CurrentSince Jan 8, 2022 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

  • Direct secure messaging: ddaigrepont@billingsclinic.cernerdirect.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.