Active NPI
Deborah Marie Nettles, MN, CNS, FNP-C
- Family Nurse Practitioner
- Metairie, LA
National Provider Identifier
1336161108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP03392
- Practice address
- 111 N Causeway Blvd
Metairie, LA 70001-5450 - Phone
- (504) 301-7727
- Fax
- (504) 838-5104
- NPI assigned
- Jul 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP03392 | LA | Primary |
| Clinical Nurse Specialist | 364S00000X | AP03392 | LA |
Addresses
Primary practice location
111 N Causeway Blvd
Metairie, LA 70001-5450
Mailing address
111 Causeway Blvd
Metarie, LA 70001-2401
Phone (504) 838-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1550515 | Medicaid | LA |
Other names 1
- Mrs. Deborah Marie Darensbourg
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP03392 | LA | MD | Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417737600000",
"number": "1336161108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CAUSEWAY BLVD",
"city": "METARIE",
"state": "LA",
"postal_code": "700012401",
"telephone_number": "504-838-5100",
"fax_number": "504-838-5104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N CAUSEWAY BLVD",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700015450",
"telephone_number": "504-301-7727",
"fax_number": "504-838-5104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NETTLES",
"first_name": "DEBORAH",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MN, CNS, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2014-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP03392",
"primary": true
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "LA",
"license": "AP03392",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1550515",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "DARENSBOURG",
"middle_name": "MARIE",
"prefix": "MRS.",
"credential": "CNS, FNP-C",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.