Individual provider Active NPI

Mark Devin Drummond, NPA

  • Adult Health Nurse Practitioner
  • Hammond, LA
National Provider Identifier
1356462972
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP05145 Issued in LA
Practice address
42388 Pelican Professional Park
Hammond, LA 70403
Phone
(985) 542-6251
Fax
(985) 345-2386
NPI assigned
Apr 2, 2007
Last updated
Apr 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN080575 LA
Adult Health Nurse Practitioner 363LA2200X AP05145 LA Primary

Addresses

Primary practice location

42388 Pelican Professional Park
Hammond, LA 70403

Mailing address

PO Box 1799
Hammond, LA 70404-1799
Phone (985) 542-6251

Other identifiers 2

IdentifierTypeStateIssuer
RN080575OtherLARN LICENSE
AP05145OtherLANP LICENSE

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
I20070727000512 LA Practitioner - Nurse Practitioner 8628179108 Reassigns benefits to 1 organization
Practice locations: Hammond, LA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine Clinic of Tangipahoa, LLCGroup PAC ID 9234034778, 23 clinicians

Practice addresses (Care Compare)

42388 Pelican Professional Park
Hammond, LA 70403-2412
Phone (985) 542-6251

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN080575LAMDRegistered Nurse
AP05145LAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Clinic of Tangipahoa, LLC CurrentSince Feb 28, 2007 Accepting new patients
Louisiana Hyperbarics Past Accepting new patients

Locations

42388 Pelican Professional Park
Hammond, LA 70403
Phone (985) 542-6251

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHBICA
  • Direct secure messaging: mark.drummond@imcot.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1356462972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1799",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704041799",
            "telephone_number": "985-542-6251",
            "fax_number": "985-345-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42388 PELICAN PROFESSIONAL PARK",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70403",
            "telephone_number": "985-542-6251",
            "fax_number": "985-345-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUMMOND",
        "first_name": "MARK",
        "middle_name": "DEVIN",
        "name_prefix": "Mr.",
        "credential": "NPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN080575",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "AP05145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "RN080575",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "AP05145",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.