Davidra Kaba, APRN, PMHNP-CNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

219005 Issued in LA

Practice address

716 Village Rd
Kenner, LA 70065-2751

Phone

(504) 464-8895

NPI assigned

Aug 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Life P.R.E.S.S. Effect, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1659029387
  Medicare reassignment NPD Authorized official
• Oceans Rog LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Charles, LA
  • NPI 1922424357
  Medicare reassignment NPD

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1730792870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 VILLAGE RD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652751",
            "telephone_number": "504-464-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 VILLAGE RD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652751",
            "telephone_number": "504-464-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABA",
        "first_name": "DAVIDRA",
        "credential": "APRN, PMHNP-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "219005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph M Gautreaux, MD
• Juanitas Transportation LLC
• Courtney Marie Jumonville, RD, LDN
• Brook Juneau
• K.E. Vogel, M.D., AMC
• Saba Ali Kagani, PHARMD
• Mario Kakazu, M.D.
• Sanjay Kamboj, M.D.
• Bhindhyaa Kaur, MD
• Christal Keller, PHARMD

• Psychiatric/Mental Health Nurse Practitioner in Kenner, LA
• Providers in Kenner, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.