Individual provider Active NPI

Danielle Melissa Dejean, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1528840345
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
230455 Issued in LA
Practice address
3201 General de Gaulle Drive
New Orleans, LA 70114
Phone
(504) 354-2103
NPI assigned
Oct 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 156505 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 230455 LA Primary

Addresses

Primary practice location

3201 General de Gaulle Drive
New Orleans, LA 70114

Mailing address

3201 General de Gaulle Drive
New Orleans, LA 70114-1860
Phone (504) 354-2103

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
I20240909000935 LA Practitioner - Nurse Practitioner 8426598277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpha Health ServicesGroup PAC ID 7012342025, 2 clinicians

Practice addresses (Care Compare)

3201 General Degaulle Dr
New Orleans, LA 70114-6756
Phone (504) 354-2103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
156505LAMDRegistered Nurse
230455LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Health Services CurrentSince Jul 5, 2024 Accepting new patients

Locations

3201 General Degaulle Dr
Ste 100
New Orleans, LA 70114
Phone (504) 354-2103

3201 General Degaulle Dr
New Orleans, LA 70114
Phone (504) 354-2103

Organizations & group practices 1

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": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1528840345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 GENERAL DE GAULLE DRIVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701141860",
            "telephone_number": "504-354-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 GENERAL DE GAULLE DRIVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70114",
            "telephone_number": "504-354-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJEAN",
        "first_name": "DANIELLE",
        "middle_name": "MELISSA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "156505",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "230455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.