Courtney Leblanc Delatte, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

240073 Issued in LA

Practice address

13909 Florida Blvd
Livingston, LA 70754-6340

Phone

(225) 686-7044

Fax

(225) 686-3052

NPI assigned

Aug 6, 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Livingston Parish School System

  • Student Health Clinic/Center
  • Livingston, LA
  • NPI 1194937631
  NPD (past)
• Livingston Parish School System

  • Student Health Clinic/Center
  • Livingston, LA
  • NPI 1790999647
  NPD (past)

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1801406616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30120 HWY 441",
            "city": "LIVINGSTON",
            "state": "LA",
            "postal_code": "707541130",
            "telephone_number": "225-567-9367",
            "fax_number": "225-567-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13909 FLORIDA BLVD",
            "city": "LIVINGSTON",
            "state": "LA",
            "postal_code": "707546340",
            "telephone_number": "225-686-7044",
            "fax_number": "225-686-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELATTE",
        "first_name": "COURTNEY",
        "middle_name": "LEBLANC",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "LA",
            "license": "240073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10185",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Holden",
            "affiliation": "N",
            "address_1": "13909 Florida Blvd",
            "city": "Livingston",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707546340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amber Crayton
• Christi Smith Daigle
• Kristy Lashawn Dandridge-Clark, LPC
• Alisha Davis, RN
• Alan M Day, DDS
• Alice Caldwell Devall, LCSW
• Kaylie Dorsey
• Amanda Dupree, M.A., L-SLP, CCC-SLP
• Tiffany Michelle Arnold Duvall, PHARM. D
• Jamie Dyess, MS, L-SLP, CCC-SLP

• Licensed Practical Nurse in Livingston, LA
• Providers in Livingston, LA by specialty
• Licensed Practical Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.