Individual provider Active NPI

Danielle Webster, MSN, APRN, FNP-BC

  • Primary Care Nurse Practitioner
  • Prairieville, LA
National Provider Identifier
1508499252
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
211619 Issued in LA
Practice address
17503 Old Jefferson Hwy
Prairieville, LA 70769
Phone
(225) 313-4560
Fax
(225) 673-3069
NPI assigned
Feb 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 211619 LA Primary

Addresses

Primary practice location

17503 Old Jefferson Hwy
Prairieville, LA 70769

Mailing address

17503 Old Jefferson Hwy
Prairieville, LA 70769
Phone (225) 313-4560

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
I20200623000580 LA Practitioner - Nurse Practitioner 8325460298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
W Trent Massengale MD LLCGroup PAC ID 3173762283, 4 clinicians

Practice addresses (Care Compare)

17503 Old Jefferson Hwy
Prairieville, LA 70769-3930
Phone (225) 313-4560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
211619LAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince May 21, 2020 Accepting new patients
Ochsner Clinic LLC CurrentSince May 21, 2020 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
W Trent Massengale, MD LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

10310 The Grove Blvd
Baton Rouge, LA 70836
Phone (225) 761-5239

6411 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 221-9599

1514 Jefferson Hwy
New Orleans, LA 70121

17503 Old Jefferson Hwy
Prairieville, LA 70769
Phone (225) 313-4560

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1508499252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17503 OLD JEFFERSON HWY",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "70769",
            "telephone_number": "225-313-4560",
            "fax_number": "225-673-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17503 OLD JEFFERSON HWY",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "70769",
            "telephone_number": "225-313-4560",
            "fax_number": "225-673-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "DANIELLE",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "211619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairieville, LA

Sources for this page

Verify at the official NPI Registry.