John Douglas Nance

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP61190798 Issued in WA

Practice address

5 S 14TH Ave
Yakima, WA 98902-3101

Phone

(519) 426-2378

NPI assigned

Jul 6, 2021

Last updated

Sep 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA, MS2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Access Serenity of Louisiana LLCGroup PAC ID 4385985803, 13 clinicians

Freedom Hospital of Magnolia LLCGroup PAC ID 4082910393, 5 clinicians

Access Serenity of Mississippi LLCGroup PAC ID 2860780111, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: minjnance@yourcarecommunity.org

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.

• Access Serenity of Louisiana, LLC

  dba Access Serenity

  • Psychiatry Physician
  • Many, LA
  • NPI 1104378629
  Medicare reassignment Care Compare group NPD
• Access Serenity of Mississippi LLC

  dba Access Serenity

  • Psychiatry Physician
  • Many, LA
  • NPI 1801349238

  MS

  Medicare reassignment Care Compare group NPD
• Freedom Hospital of Magnolia LLC

  dba Beacham Memorial Hospital

  • General Practice Physician
  • Magnolia, MS
  • NPI 1598212490
  Medicare reassignment Care Compare group NPD
• Lsu Health Sciences Center Shreveport Faculty Group Practice

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1013374222
  Medicare reassignment NPD

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1285205740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 RIVER RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052841",
            "telephone_number": "318-828-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 S 14TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023101",
            "telephone_number": "519-426-2378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Plaza Pl",
            "address_purpose": "LOCATION",
            "city": "Minden",
            "state": "LA",
            "postal_code": "710553330",
            "country_code": "US",
            "telephone_number": "318-371-5646",
            "fax_number": "318-371-5636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NANCE",
        "first_name": "JOHN",
        "middle_name": "DOUGLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "221921",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61190798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Norman J Naiden, MD
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• Pete Nathe, DDS
• National Birth Centers, Inc.
• National Birth Centers, Inc.
• Joy C. Nauman, ND
• Alexia Navarrete

• Psychiatric/Mental Health Nurse Practitioner in Yakima, WA
• Providers in Yakima, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.