Maria Noarnice Etienne, PMHNP

Individual provider Active NPI Psychiatry Physician · Port Sulphur, LA

NPI 1679483580 · NPPES record last updated Sep 11, 2026

Key facts

NPI
1679483580
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
245603 (LA)
Practice address
29978 Highway 23
Port Sulphur, LA 70083-3028
Phone
(504) 818-4984
NPI assigned
Sep 11, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 245603 LA Yes

Addresses

Primary practice location

29978 Highway 23
Port Sulphur, LA 70083-3028

Mailing address

29978 Highway 23
Port Sulphur, LA 70083-3028

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 11, 2026.

{
    "created_epoch": "1789084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1679483580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29978 HIGHWAY 23",
            "city": "PORT SULPHUR",
            "state": "LA",
            "postal_code": "700833028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29978 HIGHWAY 23",
            "city": "PORT SULPHUR",
            "state": "LA",
            "postal_code": "700833028",
            "telephone_number": "504-818-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETIENNE",
        "first_name": "MARIA",
        "middle_name": "NOARNICE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-11",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "245603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Sulphur, LA

All providers in Port Sulphur, LA · Psychiatry Physician in Louisiana

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.