Active NPI
Deidra Nerve
- Licensed Practical Nurse
- Franklin, LA
National Provider Identifier
1396388252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 290995
- Practice address
- 205 Talbot St
Franklin, LA 70538-4120 - Phone
- (337) 255-6090
- NPI assigned
- Oct 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290995 | LA | MD | Licensed Practical Nurse |
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 290995 | LA | Primary |
Addresses
Primary practice location
205 Talbot St
Franklin, LA 70538-4120
Mailing address
205 Talbot St
Franklin, LA 70538-4120
Phone (337) 255-6090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 290995 | Other | LICENSE # |
NPI Registry JSON
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1396388252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 TALBOT ST",
"city": "FRANKLIN",
"state": "LA",
"postal_code": "705384120",
"telephone_number": "337-255-6090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 TALBOT ST",
"city": "FRANKLIN",
"state": "LA",
"postal_code": "705384120",
"telephone_number": "337-255-6090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NERVE",
"first_name": "DEIDRA",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-23",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "LA",
"license": "290995",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "290995",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Franklin, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.