Individual provider Active NPI

Anitra Degrusha Dunbar, FNP-C

  • Registered Nurse
  • Mansura, LA
National Provider Identifier
1659809648
Registry record updated Jul 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN109928 Issued in LA
Practice address
7406 Highway 1 Ste 101
Mansura, LA 71350-4204
Phone
(318) 240-8515
Fax
(318) 240-8516
NPI assigned
Jun 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP09457 LA
Registered Nurse 163W00000X RN109928 LA Primary

Addresses

Primary practice location

7406 Highway 1 Ste 101
Mansura, LA 71350-4204

Mailing address

130 Chatrace Dr
Marksville, LA 71351-4776
Phone (318) 359-2135

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
I20201203001120 LA Practitioner - Nurse Practitioner 2365620135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CLHG-Avoyelles LLCGroup PAC ID 8921380528, 39 clinicians

Practice addresses (Care Compare)

2906 Main St
Hessmer, LA 71341-4006
Phone (318) 563-1003

5541 Hwy 1
Marksville, LA 71351-2650
Phone (318) 240-7240

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Alexandria, LA, CCN 197044
  • Avoyelles Hospital Hospital, Marksville, LA, CCN 190099

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN109928LAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
CLHG-Avoyelles LLC CurrentSince Nov 1, 2022 Accepting new patients
CLHG-Avoyelles LLC Current Accepting new patients
CLHG-Avoyelles LLC CurrentSince Nov 1, 2022 Accepting new patients
Senescence LLC PastSince Feb 21, 2021 Accepting new patients

Locations

2906 Main St
Hessmer, LA 71341
Phone (318) 315-7093

1610 Water St
Lecompte, LA 71346
Phone (318) 406-8010

5541 Highway 1
Marksville, LA 71351
Phone (318) 240-7240

110 La Rue Medecine St
Marksville, LA 71351
Phone (318) 253-6564

4239 Highway 1192
Ste 300
Marksville, LA 71351
Phone (318) 253-0677

10542 Highway 1
Moreauville, LA 71355
Phone (318) 785-0102

Interoperability endpoints

  • Direct secure messaging: anitra.dunbar.1@30808.direct.athenahealth.com
  • Direct secure messaging: anitra.dunbar.3@16696.direct.athenahealth.com

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499385600000",
    "number": "1659809648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CHATRACE DR",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713514776",
            "telephone_number": "318-359-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7406 HIGHWAY 1 STE 101",
            "city": "MANSURA",
            "state": "LA",
            "postal_code": "713504204",
            "telephone_number": "318-240-8515",
            "fax_number": "318-240-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNBAR",
        "first_name": "ANITRA",
        "middle_name": "DEGRUSHA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2017-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09457",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN109928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansura, LA

Sources for this page

Verify at the official NPI Registry.