Lakin Danielle Blue, NP
Individual provider Active NPI Family Nurse Practitioner · Moss Bluff, LA
NPI 1619787975 · NPPES record last updated Jan 9, 2025
Key facts
- NPI
- 1619787975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 237294 (LA)
- Practice address
- 242 Sam Houston Jones Pkwy
Moss Bluff, LA 70611-5603 - Phone
- (337) 905-4000
- NPI assigned
- Jan 9, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4055 Valley View LN
Suite 700
Dallas, TX 75244-4910
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260114001516 | LA | Practitioner - Nurse Practitioner | 8426534934 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 237294 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Current |
Accepting new patients |
Locations
201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 582-1416
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 237294 | LA | Yes |
Addresses
Primary practice location
242 Sam Houston Jones Pkwy
Moss Bluff, LA 70611-5603
Mailing address
242 Sam Houston Jones Pkwy
Moss Bluff, LA 70611-5603
Phone (337) 905-4000
Other providers in Moss Bluff, LA
- Anderson Brothers Transportation LLC
- Harold Anderson Jr.
- Calcasieu Therapy Group LLC
- Elisabeth Conley
- Kiana Duncan
- Sarah Elizabeth Duncan
- Eavy'S Medical Transportation
All providers in Moss Bluff, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.