Active NPI
Deborah Jane Hextall, R.N.BC
- Registered Nurse
- Hammond, LA
National Provider Identifier
1457404949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 41137
- Practice address
- 835 Pride Dr Ste B
Hammond, LA 70401-9527 - Phone
- (985) 543-4730
- Fax
- (985) 543-4752
- NPI assigned
- Jan 19, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN041137 | LA | |
| Registered Nurse | 163W00000X | 41137 | LA | Primary |
Addresses
Primary practice location
835 Pride Dr Ste B
Hammond, LA 70401-9527
Mailing address
835 Pride Dr Ste B
Hammond, LA 70401-9527
Phone (985) 543-4730
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 |
|---|---|---|---|
| 41137 | LA | MD | Registered Nurse |
| RN041137 | LA | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1457404949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 PRIDE DR STE B",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704019527",
"telephone_number": "985-543-4730",
"fax_number": "985-543-4752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 PRIDE DR STE B",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704019527",
"telephone_number": "985-543-4730",
"fax_number": "985-543-4752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEXTALL",
"first_name": "DEBORAH",
"middle_name": "JANE",
"credential": "R.N.BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "LA",
"license": "RN041137",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "LA",
"license": "41137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.