Active NPI
Richele Layne Donellan, LPN
- Licensed Practical Nurse
- Denham Springs, LA
National Provider Identifier
1417627258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 220103
- Practice address
- 8444 Cecil Dr
Denham Springs, LA 70706-1244 - Phone
- (225) 664-3211
- Fax
- (225) 664-1551
- NPI assigned
- Sep 14, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 220103 | LA | Primary |
Addresses
Primary practice location
8444 Cecil Dr
Denham Springs, LA 70706-1244
Mailing address
34999 Phillips Dr
Denham Springs, LA 70706-2709
Phone (225) 802-6295
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 |
|---|---|---|---|
| 220103 | LA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1417627258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34999 PHILLIPS DR",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707062709",
"telephone_number": "225-802-6295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8444 CECIL DR",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707061244",
"telephone_number": "225-664-3211",
"fax_number": "225-664-1551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONELLAN",
"first_name": "RICHELE",
"middle_name": "LAYNE",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-14",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "LA",
"license": "220103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denham Springs, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.