Haley B David, FNP
Individual provider Active NPI Family Nurse Practitioner · Port Allen, LA
NPI 1366037038 · NPPES record last updated Mar 4, 2021
Key facts
- NPI
- 1366037038
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 218162 (LA)
- Practice address
- 203 Allendale Dr
Port Allen, LA 70767-3219 - Phone
- (225) 389-1311
- Fax
- (225) 389-1330
- NPI assigned
- Mar 4, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Primary Care Providers for a Healthy Feliciana, Inc
Practice addresses (Care Compare)
203 Allendale Dr
Port Allen, LA 70767-3219
Phone (225) 389-1311
Hospital & facility affiliations
- Womans Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210426000402 | LA | Practitioner - Nurse Practitioner | 6002224417 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 218162 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Providers for a Healthy Feliciana, Inc | Current |
Accepting new patients | |
| Primary Care Providers for a Healthy Feliciana, Inc. | Current | Accepting new patients | |
| Primary Care Providers for a Healthy Feliciana Inc | Current |
Accepting new patients | |
| Primary Care Providers for a Healthy Feliciana Inc | Past | Accepting new patients | |
| Primary Care Providers for a Healthy Feliciana, Inc | Past | Accepting new patients | |
| Primary Care Providers for a Healthy Feliciana, Inc. | Past | Accepting new patients | |
| Primary Care Providers for a Healthy Feliciana Inc | Past | Accepting new patients | |
| Primary Care Providers for a Healthy Feliciana, Inc | Past | Accepting new patients | |
| Primary Care Providers for a Healthy Feliciana, Inc | Past | Accepting new patients |
Locations
455 E Airport Ave
Baton Rouge, LA 70806
Phone (225) 570-2300
11990 Jackson St
Clinton, LA 70722
Phone (225) 570-6111
10410 Plank Rd
Clinton, LA 70722
Phone (225) 683-8877
3501 Highway 10
Jackson, LA 70748
Phone (225) 683-1360
28315 S Frost Rd
Livingston, LA 70754
Phone (225) 283-1356
54016 Highway 1062
Loranger, LA 70446
Phone (985) 606-9000
3553 Rosedale Rd
Port Allen, LA 70767
Phone (225) 234-0227
Interoperability endpoints
- haley.david.p1@direct.rkmprimarycare.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 218162 | LA | Yes |
Addresses
Primary practice location
203 Allendale Dr
Port Allen, LA 70767-3219
Mailing address
PO Box 395
Clinton, LA 70722-0395
Phone (225) 683-5292
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 218162 | Other | LA | PRACTICING LICENSE |
Other names
- Haley Michelle Blanchard
Other providers in Port Allen, LA
- Cedar Place LLC
- Caitlyn Rose Chenevert
- Inga Collins
- Linda H Crockett
- Allison Morgan David
- Rebecca F Davis
- De'Shanae Renae Dean
- DHH/Oph
- Turkesa Henderson Dotson
- Raven E Dunlap
All providers in Port Allen, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.