Active NPI
Trevor Lyndon Dupree
- Magnetic Resonance Imaging Radiologic Technologist
- Marrero, LA
National Provider Identifier
1568336139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging Radiologic Technologist
- License
- 16309
- Practice address
- 1101 Medical Center Blvd
Marrero, LA 70072-3147 - Phone
- (504) 347-5511
- NPI assigned
- Oct 6, 2025
- Last updated
- Oct 6, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging Radiologic Technologist | 2471M1202X | 16309 | LA | Primary |
Addresses
Primary practice location
1101 Medical Center Blvd
Marrero, LA 70072-3147
Mailing address
404 Delaronde St
New Orleans, LA 70114-1006
Phone (509) 435-8837
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16309 | LA | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1568336139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 DELARONDE ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701141006",
"telephone_number": "509-435-8837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 MEDICAL CENTER BLVD",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723147",
"telephone_number": "504-347-5511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPREE",
"first_name": "TREVOR",
"middle_name": "LYNDON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-06",
"last_updated": "2025-10-06",
"certification_date": "2025-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "2471M1202X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Magnetic Resonance Imaging",
"state": "LA",
"license": "16309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marrero, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.