Montrell Latrae Martin-Duhe, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Port Allen, LA
NPI 1376944009 · NPPES record last updated Sep 2, 2021
Key facts
- NPI
- 1376944009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP08043 (LA)
- Practice address
- 4463 Hwy 1 S Ste a
Port Allen, LA 70767-5990 - Phone
- (225) 448-5307
- Fax
- (225) 448-5021
- NPI assigned
- Sep 12, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Our Lady of the Lake Physician Group LLC
Practice addresses (Care Compare)
4353 Hwy 1 S
Port Allen, LA 70767-5826
Phone (225) 749-2645
7777 Hennessy Blvd
Baton Rouge, LA 70808-4363
Hospital & facility affiliations
- Ochsner Medical Center - Baton Rouge
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 |
|---|---|---|---|---|
| I20141216001548 | LA | Practitioner - Nurse Practitioner | 2264755602 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lourdes Physician Group LLC | Nurse Practitioner | Current | Accepting new patients |
| Our Lady of the Lake Physician Group LLC | Current |
Accepting new patients | |
| Our Lady of the Lake Physician Group LLC | Nurse Practitioner | Current |
Accepting new patients |
Locations
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011
8415 Goodwood Blvd
Ste 105
Baton Rouge, LA 70806
Phone (225) 765-4226
4353 Hwy 1 S
Port Allen, LA 70767
Phone (225) 749-2645
4463 Hwy 1 S
Ste A
Port Allen, LA 70767
Phone (225) 448-5307
Interoperability endpoints
- mmartin38559@direct.casso.us.com
- livonia@inchc.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP08043 | LA | Yes |
Addresses
Primary practice location
4463 Hwy 1 S Ste a
Port Allen, LA 70767-5990
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 526-0002
Other practice location 1
6450 LA Hwy 1
Innis, LA 70747-4700
Phone (225) 492-3775
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2378686 | Medicaid | LA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | mmartin38559@direct.casso.us.com | Direct |
Other providers in Port Allen, LA
- Louisiana Chiropractic LLC
- Louisiana Urgent Care LLC
- Shaquill Mack
- Kyle Mancuso
- Haley Hebert Marcantel
- Louis L Mason
- Amy McClinton-Smith
- Medical Care Transportation Group LLC
- Kalina Mercier
- Deirdra Miles
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 Sep 2, 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.