Individual provider Active NPI

Dana G Reitzammer, APRN-CNP

  • Family Nurse Practitioner
  • West Monroe, LA
National Provider Identifier
1457922973
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
221055 Issued in LA
Practice address
5600 Cypress St Ste 4
West Monroe, LA 71291-7540
Phone
(318) 536-0388
Fax
(318) 536-0394
NPI assigned
Jul 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 221055 LA
Family Nurse Practitioner 363LF0000X 221055 LA Primary

Addresses

Primary practice location

5600 Cypress St Ste 4
West Monroe, LA 71291-7540

Mailing address

5600 Cypress St Ste 4
West Monroe, LA 71291-7540
Phone (318) 536-0388

Other names 1

  • Ms. Dana Gail Sims Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210820001929 LA Practitioner - Nurse Practitioner 2466857933 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5600 Cypress St
Suite 4
West Monroe, LA 71291-7540
Phone (318) 536-0388

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nerd LLC Family CurrentSince May 30, 2024 Accepting new patients
Internal Medicine of the Twin Cities CurrentSince Aug 16, 2021 Accepting new patients

Locations

3510 Medical Park Dr
Ste 9
Monroe, LA 71203
Phone (318) 388-6050

2503 Broadmoor Blvd
Monroe, LA 71201
Phone (318) 322-7726

5600 Cypress St
Ste 4
West Monroe, LA 71291
Phone (318) 355-6743

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1457922973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 CYPRESS ST STE 4",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917540",
            "telephone_number": "318-536-0388",
            "fax_number": "318-536-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 CYPRESS ST STE 4",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917540",
            "telephone_number": "318-536-0388",
            "fax_number": "318-536-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITZAMMER",
        "first_name": "DANA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "LA",
            "license": "221055",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "221055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "SIMS",
            "middle_name": "GAIL",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Monroe, LA

Sources for this page

Verify at the official NPI Registry.