Individual provider Active NPI

Denise Ann Thomas, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Hammond, LA
National Provider Identifier
1417434713
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP09824 Issued in LA
Practice address
44617 S Airport Rd
Hammond, LA 70403-0311
Phone
(985) 429-7611
NPI assigned
Jul 19, 2018
Last updated
Jul 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP09824 LA Primary

Addresses

Primary practice location

44617 S Airport Rd
Hammond, LA 70403-0311

Mailing address

1140 Rue Toulouse
Slidell, LA 70458-2232
Phone (985) 445-9964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Community Health SystemsGroup PAC ID 4284610437, shared by 23 NPIs, 22 clinicians

Practice addresses (Care Compare)

1207 PO Box
Greensburg, LA 70441

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP09824LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Community Health Systems CurrentSince Sep 1, 2019 Accepting new patients
Southeast Community Health Systems CurrentSince Sep 1, 2019 Accepting new patients
Greenbrier Hospital, LLC CurrentSince Dec 1, 2020 Accepting new patients
Southeast Community Health Systems CurrentSince Sep 1, 2019 Accepting new patients

Locations

201 Greenbrier Blvd
Covington, LA 70433
Phone (866) 652-3940

30575 Old Baton Rouge Hwy
Hammond, LA 70403
Phone (225) 306-2050

6351 Main St
Zachary, LA 70791
Phone (225) 306-2026

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.

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1417434713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 RUE TOULOUSE",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582232",
            "telephone_number": "985-445-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44617 S AIRPORT RD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704030311",
            "telephone_number": "985-429-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DENISE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP09824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.