Individual provider Active NPI

Brenda Donatto Medley, NP

  • Family Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1285742403
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP03784 Issued in LA
Practice address
6760 Curran Blvd
New Orleans, LA 70126-1720
Phone
(504) 495-1384
NPI assigned
Aug 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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 AP03784 LA Primary

Addresses

Primary practice location

6760 Curran Blvd
New Orleans, LA 70126-1720

Mailing address

6760 Curran Blvd
New Orleans, LA 70126-1720
Phone (504) 495-1384

Other identifiers 2

IdentifierTypeStateIssuer
1285742403OtherLANPI
1101109MedicaidLA

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
I20140415000741 LA Practitioner - Nurse Practitioner 7719119247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marillac Community Health CentersGroup PAC ID 3678755535, 70 clinicians

Practice addresses (Care Compare)

1030 Lesseps St
New Orleans, LA 70117-4736
Phone (504) 941-6041

1629 Westbank Expy
Harvey, LA 70058-4363
Phone (504) 367-8777

3201 S Carrollton Ave
New Orleans, LA 70118-4307
Phone (504) 207-3060

3303 Higgins Blvd
New Orleans, LA 70126-5853
Phone (504) 948-2873

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marillac Community Health Centers CurrentSince Dec 13, 2018 Accepting new patients
Marillac Community Health Centers Current Accepting new patients
Marillac Community Health Centers Past Accepting new patients

Locations

3201 S Carrollton Ave
New Orleans, LA 70118
Phone (504) 207-3019

1030 Lesseps St
New Orleans, LA 70117
Phone (504) 207-6287

Interoperability endpoints

  • Direct secure messaging: bmedley@dcsno.directbygreenway.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1285742403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6760 CURRAN BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701261720",
            "telephone_number": "504-495-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6760 CURRAN BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701261720",
            "telephone_number": "504-495-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLEY",
        "first_name": "BRENDA",
        "middle_name": "DONATTO",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP03784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285742403",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1101109",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.