Individual provider Active NPI

Donna Rachel Davilla, NP

  • Family Nurse Practitioner
  • Kenner, LA
National Provider Identifier
1609005404
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LA2162 Issued in LA
Practice address
4113 Williams Blvd
Kenner, LA 70065-2202
Phone
(504) 239-1901
NPI assigned
Jul 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LA2162 LA Primary

Addresses

Primary practice location

4113 Williams Blvd
Kenner, LA 70065-2202

Mailing address

4033 Tchoupitoulas St
New Orleans, LA 70115-1432
Phone (504) 410-4197

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LA2162LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harris Healthcare Group, Inc Past Accepting new patients
Clearview Internal Medicine, Inc Past Accepting new patients

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": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1609005404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 TCHOUPITOULAS ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701151432",
            "telephone_number": "504-410-4197",
            "fax_number": "504-324-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 WILLIAMS BLVD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652202",
            "telephone_number": "504-239-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILLA",
        "first_name": "DONNA",
        "middle_name": "RACHEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "LA2162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.