Christine Dessauer McDaniel, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.A10626.RX Issued in LA

Practice address

13030 Highway 308
Larose, LA 70373-2056

Phone

(985) 798-7000

Fax

(985) 798-7021

NPI assigned

Jan 4, 2007

Last updated

Mar 21, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: christine.mcdaniel.1@11331.direct.athenahealth.com

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.

• Access Health Louisiana

  dba St Charles Community Health Center, Norco

  • Federally Qualified Health Center (FQHC)
  • Norco, LA
  • NPI 1376784868
  Medicare reassignment NPD
• Access Health Louisiana

  dba St Bernard Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Chalmette, LA
  • NPI 1174828362
  NPD
• Access Health Louisiana

  dba AHL Eye Associates of West Jefferson

  • Federally Qualified Health Center (FQHC)
  • Marrero, LA
  • NPI 1255226429
  NPD
• Access Health Louisiana

  dba Albert Cammon Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Saint Rose, LA
  • NPI 1013239508
  NPD (past)
• Access Health Louisiana

  dba AHL SBHC Paradis La.

  • Federally Qualified Health Center (FQHC)
  • Paradis, LA
  • NPI 1104239482
  NPD (past)
• Access Health Louisiana

  dba St Tammany Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Slidell, LA
  • NPI 1487898946
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1508913195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13030 HIGHWAY 308",
            "city": "LAROSE",
            "state": "LA",
            "postal_code": "703732056",
            "telephone_number": "985-798-7000",
            "fax_number": "985-798-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13030 HIGHWAY 308",
            "city": "LAROSE",
            "state": "LA",
            "postal_code": "703732056",
            "telephone_number": "985-798-7000",
            "fax_number": "985-798-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "CHRISTINE",
        "middle_name": "DESSAUER",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.A10626.RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1625132",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jay Vega MD.,a.P.M.C.
• Lafourche Parish Hospital Service District No. 1 (Lady of the Sea Community Pharmacy #2)
• Lafourche Parish Hospital Service District No. 1 (Lady of the Sea Medical Clinic - Larose)
• Rebecca Gates Ledet, M. A. CCC-SLP
• Shana Matherne
• Physical Therapy Specialists Inc
• Physiofit LLC
• Physiofit Physical Therapy, LLC
• Blake P Pitre
• Camille Callais Pitre, M.D.

• Physician Assistant in Larose, LA
• Providers in Larose, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.

Verify at the official NPI Registry.