Active NPI
Debralee Ann Populis, APRN-BC, MSN, FNP
- Family Nurse Practitioner
- Springfield, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APO4906
- Practice address
- 31330 Highway 22 Ste 101
Springfield, LA 70462-7427 - Phone
- (225) 414-0690
- Fax
- (225) 414-0693
- NPI assigned
- Oct 23, 2006
- Last updated
- May 30, 2013
- 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 | APO4906 | LA | Primary |
| Registered Nurse | 163W00000X | RN101773 | LA |
Addresses
Primary practice location
31330 Highway 22 Ste 101
Springfield, LA 70462-7427
Mailing address
31330 Highway 22 Ste 101
Springfield, LA 70462-7427
Phone (225) 414-0690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1456080 | Medicaid | LA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southeast Community Health Systems
Practice addresses (Care Compare)
1207 PO Box
Greensburg, LA 70441
30575 Old Baton Rouge Hwy
Hammond, LA 70403-8350
Phone 22530620672045
721 Ave G
Kentwood, LA 70444-2601
Phone (225) 306-2100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN101773 | LA | MD | Registered Nurse |
| APO4906 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Helena Parish Hospital | Current | Accepting new patients | |
| St Helena Parish Hospital | Current | Accepting new patients | |
| Southeast Community Health Systems | Current | Accepting new patients | |
| Southeast Community Health Systems | Current | Accepting new patients | |
| Convenient Care LLC | Current | Accepting new patients | |
| Convenient Care LLC | Current | Accepting new patients | |
| Southeast Community Health Systems | Current | Accepting new patients | |
| Universal Behavioral Health Hospital Inc | Current | Accepting new patients | |
| St. Helena Parish Hospital | Current | Accepting new patients | |
| Southeast Community Health Systems | Current | Accepting new patients | |
| Convenient Care LLC | Current | Accepting new patients | |
| Family Healthcare of Loranger, LLC | Current | Accepting new patients | |
| Southeast Community Health Systems | Past | Accepting new patients |
Locations
10319 Jefferson Hwy
Baton Rouge, LA 70809
Phone (224) 214-9352
12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857
16874 Highway 43
Greensburg, LA 70441
Phone (225) 222-6111
490 Sitman St
Greensburg, LA 70441
Phone (225) 222-6059
6214 Highway 10
Greensburg, LA 70441
Phone (225) 222-3206
30575 Old Baton Rouge Hwy
Hammond, LA 70403
Phone (225) 306-2050
800 S Oak St
Hammond, LA 70403
Phone (504) 615-6419
336 E Railroad Ave
Independence, LA 70443
Phone (225) 306-2060
721 Avenue G
Kentwood, LA 70444
Phone (225) 306-2023
54002 Highway 1062
Loranger, LA 70446
Phone (985) 606-2273
6351 Main St
Zachary, LA 70791
Phone (225) 306-2026
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/univers-20f52cf9
Organizations & group practices 13
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.
-
dba Lake After Hours Perkins
- Urgent Care Clinic/Center
- Baton Rouge, LA
- NPI 1164422630
-
dba Southeast Community Health Systems @ Greensburg
- Federally Qualified Health Center (FQHC)
- Greensburg, LA
- NPI 1023147113
-
dba Southeast Community Health Systems @ Albany
- Federally Qualified Health Center (FQHC)
- Hammond, LA
- NPI 1366617367
-
- Critical Access Hospital
- Greensburg, LA
- NPI 1013068808
-
- Critical Access Hospital
- Greensburg, LA
- NPI 1588614036
-
- Psychiatric Hospital
- Hammond, LA
- NPI 1467019000
-
dba Lake After Hours Hammond
- Urgent Care Clinic/Center
- Hammond, LA
- NPI 1225119225
-
- Rural Health Clinic/Center
- Loranger, LA
- NPI 1992172621
-
- Federally Qualified Health Center (FQHC)
- Independence, LA
- NPI 1053749739
-
- Federally Qualified Health Center (FQHC)
- Kentwood, LA
- NPI 1912458639
-
dba St. Helena Parish Hospital Rural Health Clinic
- Rural Health Clinic/Center
- Greensburg, LA
- NPI 1003865619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369872000000",
"number": "1346323235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31330 HIGHWAY 22 STE 101",
"city": "SPRINGFIELD",
"state": "LA",
"postal_code": "704627427",
"telephone_number": "225-414-0690",
"fax_number": "225-414-0693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31330 HIGHWAY 22 STE 101",
"city": "SPRINGFIELD",
"state": "LA",
"postal_code": "704627427",
"telephone_number": "225-414-0690",
"fax_number": "225-414-0693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPULIS",
"first_name": "DEBRALEE",
"middle_name": "ANN",
"credential": "APRN-BC, MSN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2013-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "APO4906",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "LA",
"license": "RN101773",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1456080",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, LA
- Carrlissa Neal
- Alison Niemi, FNP-C
- Paula A. Norris, M.ED.,LPC,DAPA
- Owls Transportation Service LLC
- Ruby D Pizzolato, LCSW
- Premier Choice Counseling Service, LLC
- Primary Care Providers for a Healthy Feliciana, Inc (RKM at Springfield Elementary)
- Primary Care Providers for a Healthy Feliciana, Inc (RKM Primary Care Springfield)
- Primary Care Providers for a Healthy Feliciana, Inc (RKM at Springfield Middle)
- Charlotte Dupuy Prudhomme, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.