Individual provider Active NPI

Holly Sue Anne Delatte, APRN, FNP

  • Nurse Practitioner
  • Gonzales, LA
National Provider Identifier
1275978678
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP07071 Issued in LA
Practice address
13504 Chase St
Gonzales, LA 70737-6091
Phone
(225) 910-0630
NPI assigned
Apr 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP07071 LA Primary

Addresses

Primary practice location

13504 Chase St
Gonzales, LA 70737-6091

Mailing address

13504 Chase St
Gonzales, LA 70737-6091
Phone (225) 910-0630

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
I20141024000913 LA Practitioner - Nurse Practitioner 6002034592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nagaratna Reddy M.DGroup PAC ID 0547236242, 8 clinicians

Practice addresses (Care Compare)

217 Rail Rd Ave
Donldsonville, LA 70346-2527

217 Railroad Ave
Donaldsonville, LA 70346-2527
Phone (225) 473-3931

3407 Hwy 70 S
Pierre Part, LA 70339-4524
Phone (985) 252-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nagaratna Reddy MD CurrentSince Jun 28, 2014 Accepting new patients
Nagaratna Reddy M.D CurrentSince Jun 28, 2014 Accepting new patients
Nagaratna Reddy M.D Past Accepting new patients

Locations

217 Railroad Ave
Donaldsonvlle, LA 70346
Phone (225) 473-3931

154 Highway 1008
Napoleonville, LA 70390
Phone (985) 369-1880

3407 Highway 70 S
Pierre Part, LA 70339
Phone (225) 473-3931

32985 Bowie St
White Castle, LA 70788
Phone (225) 545-3631

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1275978678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13504 CHASE ST",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707376091",
            "telephone_number": "225-910-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13504 CHASE ST",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707376091",
            "telephone_number": "225-910-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELATTE",
        "first_name": "HOLLY",
        "middle_name": "SUE ANNE",
        "credential": "APRN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP07071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

Verify at the official NPI Registry.