Individual provider Active NPI

Valencia Maria Malveaux, NP

  • Acute Care Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1588620348
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN069856 AP03363 Issued in LA
Practice address
3720 Prytania St
New Orleans, LA 70115-3733
Phone
(504) 891-3711
Fax
(504) 891-6353
NPI assigned
Apr 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN069856 AP03363 LA Primary
Adult Health Nurse Practitioner 363LA2200X RN069856 AP03363 LA

Addresses

Primary practice location

3720 Prytania St
New Orleans, LA 70115-3733

Mailing address

3720 Prytania St
New Orleans, LA 70115-3733
Phone (504) 891-3711

Other identifiers 3

IdentifierTypeStateIssuer
500017835OtherLARAILROAD PROVIDER #
1439908MedicaidLA
733863950003OtherLACIGNA

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
I20141007002625 LA Practitioner - Nurse Practitioner 9739361577 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN069856 AP03363LAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington G. B. Bryan LTD CurrentSince Aug 29, 2014 Accepting new patients
Valencia Malveaux, LLC Acute Care PastSince Aug 29, 2014 Accepting new patients

Locations

3720 Prytania St
New Orleans, LA 70115
Phone (504) 891-3711

Organizations & group practices 2

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1588620348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 PRYTANIA ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153733",
            "telephone_number": "504-891-3711",
            "fax_number": "504-891-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 PRYTANIA ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153733",
            "telephone_number": "504-891-3711",
            "fax_number": "504-891-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALVEAUX",
        "first_name": "VALENCIA",
        "middle_name": "MARIA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "LA",
            "license": "RN069856 AP03363",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "RN069856 AP03363",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PROVIDER #",
            "identifier": "500017835",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1439908",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "733863950003",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.