Individual provider Active NPI

Yvette Marie Deslatte, MD

  • Family Medicine Physician
  • Lockport, LA
National Provider Identifier
1386611036
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD022597 Issued in LA
Practice address
1015 Crescent Ave
Lockport, LA 70374
Phone
(985) 532-1620
NPI assigned
Mar 1, 2006
Last updated
Apr 30, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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
Family Medicine Physician 207Q00000X 022597 LA
Family Medicine Physician 207Q00000X MD022597 LA Primary

Addresses

Primary practice location

1015 Crescent Ave
Lockport, LA 70374

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 842-4000

Other identifiers 2

IdentifierTypeStateIssuer
1386611036OtherNPI
1483869MedicaidLA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051206000365 LA Practitioner - Internal MedicinePractitioner - Family Practice 8022038009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital City Medical Group, L.L.C.Group PAC ID 8628252392, 38 clinicians

Practice addresses (Care Compare)

131 Corporate Dr
Houma, LA 70360-2767
Phone (985) 293-2300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
022597LAMDFamily Medicine Physician
MD022597LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital City Medical Group, L.L.C. Family Medicine CurrentSince Sep 11, 2023 Accepting new patients
Jencare Neighborhood Medical Metairie, LLC CurrentSince Jan 27, 2022 Accepting new patients
Ochsner Clinic LLC Past Accepting new patients
River Parishes Physician Practices LLC Family Medicine Past Accepting new patients

Locations

1000 Park Centre Blvd
Ste 136
Miami Gardens, FL 33169
Phone (305) 621-0023

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

501 Lapalco Blvd
Gretna, LA 70056
Phone (504) 393-4376

131 Corporate Dr
Houma, LA 70360
Phone (985) 293-2300

3530 Houma Blvd
Ste 300
Metairie, LA 70006
Phone (504) 264-5142

Organizations & group practices 4

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 2

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1386611036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70121",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 CRESCENT AVE",
            "city": "LOCKPORT",
            "state": "LA",
            "postal_code": "70374",
            "telephone_number": "985-532-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESLATTE",
        "first_name": "YVETTE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "022597",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD022597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386611036",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1483869",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, LA

Sources for this page

Verify at the official NPI Registry.