Individual provider Active NPI

Maria M Des Bordes, N.P.

  • Family Nurse Practitioner
  • Hammond, LA
National Provider Identifier
1467499871
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN058619AP04002 Issued in LA
Practice address
42388 Pelican Professional Park
Hammond, LA 70403-2412
Phone
(985) 542-6251
Fax
(985) 345-2386
NPI assigned
Jun 2, 2006
Last updated
Jan 31, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN058619AP04002 LA Primary

Addresses

Primary practice location

42388 Pelican Professional Park
Hammond, LA 70403-2412

Mailing address

PO Box 1799
Hammond, LA 70404-1799
Phone (985) 542-6251

Other identifiers 1

IdentifierTypeStateIssuer
1043227MedicaidLA

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3533SCMDSpeech-Language Pathologist
RN058619AP04002LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Img Physicians,LLC Past Accepting new patients
Louisiana Hyperbarics Past Accepting new patients
Internal Medicine Clinic of Tangipahoa, LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHBICA

Organizations & group practices 3

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1467499871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1799",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704041799",
            "telephone_number": "985-542-6251",
            "fax_number": "985-345-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42388 PELICAN PROFESSIONAL PARK",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704032412",
            "telephone_number": "985-542-6251",
            "fax_number": "985-345-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DES BORDES",
        "first_name": "MARIA",
        "middle_name": "M",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN058619AP04002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043227",
            "state": "LA"
        }
    ],
    "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 Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.