Active NPI
Datia Levon Drake, FNP
- Family Nurse Practitioner
- Covington, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 236145
- Practice address
- 648 Crestwood Blvd
Covington, LA 70433-8261 - Phone
- (985) 805-2555
- NPI assigned
- Aug 1, 2024
- Last updated
- Aug 1, 2024
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 236145 | LA | Primary |
Addresses
Primary practice location
648 Crestwood Blvd
Covington, LA 70433-8261
Mailing address
42317 September Rain Dr
Hammond, LA 70403-2115
Phone (985) 634-2877
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuro Care of Louisiana, LLC | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients |
Locations
648 Crestwood Blvd
Covington, LA 70433
Phone (985) 288-1600
201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 224-6402
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HBABBD
Organizations & group practices 2
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.
-
- Neurology Physician
- Covington, LA
- NPI 1073962528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1447089842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42317 SEPTEMBER RAIN DR",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704032115",
"telephone_number": "985-634-2877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "648 CRESTWOOD BLVD",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704338261",
"telephone_number": "985-805-2555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAKE",
"first_name": "DATIA",
"middle_name": "LEVON",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-01",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "236145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, LA
- Dr Stephen C Holmes, DDS, LLC (Stephen Holmes, DDS)
- Dr. Bruce S. Samuels, LLC
- Dr. Raymond Poirrier DDS LLC (Three Rivers Family Dentistry)
- Dr. Satyarthi Gupta & Dr. Sushma Gupta a Professional Medical Corp.
- Dr. Todd S. Brasuell LLC (Todd S. Brasuell DDS Pediatric Dentistry)
- Darryl Arlton Driggs, MD
- Javarris Drinkard
- Alexis Drobner
- DRS. Samuels & Huddleston, Apmc
- Lesley Marie Dubuc, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.