Individual provider Active NPI

Letitia Sharp Dumas, FNP

  • Family Nurse Practitioner
  • La Place, LA
National Provider Identifier
1669749164
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN097554AP06693 Issued in LA
Practice address
393 Greenwood Dr
La Place, LA 70068-2535
Phone
(985) 359-6492
Fax
(985) 359-6496
NPI assigned
Nov 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 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 RN097554AP06693 LA Primary

Addresses

Primary practice location

393 Greenwood Dr
La Place, LA 70068-2535

Mailing address

1115 Weber St
Franklin, LA 70538-4124
Phone (337) 828-2550

Other identifiers 1

IdentifierTypeStateIssuer
2173243MedicaidLA

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
I20111228000340 LA Practitioner - Nurse Practitioner 2567638331 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN097554AP06693LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Excelth, Incorporated CurrentSince May 20, 2020 Accepting new patients
Excelth, Incorporated Current Accepting new patients
Excelth, Incorporated CurrentSince May 20, 2020 Accepting new patients
E and G Enterprises Inc Past Accepting new patients

Locations

730 Colonial Dr
Ste E
Baton Rouge, LA 70806
Phone (225) 201-0751

1515 Poydras St
Ste 1070
New Orleans, LA 70112
Phone (504) 240-2273

9900 Lake Forest Blvd
#F
New Orleans, LA 70127
Phone (504) 939-9984

Interoperability endpoints

  • Direct secure messaging: letitia.dumas.p1@direct.alegiscare.nextgenshare.com

Organizations & group practices 4

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": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1669749164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 WEBER ST",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705384124",
            "telephone_number": "337-828-2550",
            "fax_number": "337-355-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 GREENWOOD DR",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700682535",
            "telephone_number": "985-359-6492",
            "fax_number": "985-359-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMAS",
        "first_name": "LETITIA",
        "middle_name": "SHARP",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN097554AP06693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2173243",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Place, LA

Sources for this page

Verify at the official NPI Registry.