Organization Active NPI

David Creger LLC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Kenner, LA
National Provider Identifier
1306350822
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
Legal business name
DAVID CREGER LLC
Practice address
716 Village Rd
Kenner, LA 70065
Phone
(504) 464-8895
Fax
(985) 781-4319
NPI assigned
Nov 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Authorized official

Name
David M Creger, APRNNPI 1023533502
Title
Owner
Phone
(504) 453-0380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SA2100X
Adult Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SP0809X Primary

Addresses

Primary practice location

716 Village Rd
Kenner, LA 70065

Mailing address

224 Bayou Gentilly LN
Kenner, LA 70065-6628
Phone (504) 453-0380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171127002042 LA Part B Supplier - Clinic/Group Practice 9931466182 Receives reassigned benefits from 1 practitioner
Practice locations: Hammond, LA

National Provider Directory

National Provider Directory

Locations

716 Village Rd
#A
Kenner, LA 70065

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1306350822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 BAYOU GENTILLY LN",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700656628",
            "telephone_number": "504-453-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 VILLAGE RD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "70065",
            "telephone_number": "504-464-8895",
            "fax_number": "985-781-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID CREGER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "CREGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-453-0380",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.