Audra Crovetto Degan, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP07399 Issued in LA

Practice address

1100 E Judge Perez Dr
Chalmette, LA 70043-5405

Phone

(504) 333-6988

NPI assigned

Jun 7, 2013

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Methodist Health System Foundation, Inc

  • Student Health Clinic/Center
  • Chalmette, LA
  • NPI 1093846354
  Medicare reassignment

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1760820138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 OAK HARBOR BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704585702",
            "telephone_number": "985-726-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E JUDGE PEREZ DR",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700435405",
            "telephone_number": "504-333-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGAN",
        "first_name": "AUDRA",
        "middle_name": "CROVETTO",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• De la Ronde Medical Center, LLC
• Damon Deal, MHS
• Ray Edward Debarbieris, CRT
• Jill P Debouchel, FNP
• Nurideen Debouse
• Asiyah Hankins Degruy, LCSW
• Nathalie Nicole Delise
• Alexis Delone
• Marigny Demauriac
• Trenelle Moniqua Dennis

• Family Nurse Practitioner in Chalmette, LA
• Providers in Chalmette, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.