Iva K. Conde, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

208357 Issued in LA

Practice address

2802 Hodges St
Lake Charles, LA 70601-7368

Phone

(337) 419-1873

NPI assigned

Apr 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Imperial Calcasieu Human Services AuthorityGroup PAC ID 2860629839, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Imperial Calcasieu Human Services Authority

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oakdale, LA
  • NPI 1578601746

  LA

  Medicare reassignment Care Compare group NPD
• Imperial Calcasieu Human Services Authority

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sulphur, LA
  • NPI 1457822751
  NPD
• Imperial Calcasieu Human Services Authority

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake Charles, LA
  • NPI 1952449118
  NPD
• Elite Medical Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake Charles, LA
  • NPI 1346644606
  NPD (past)
• Imperial Calcasieu Human Services Authority

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Deridder, LA
  • NPI 1902944184
  NPD (past)
• Legacy Behavioral Services Inc

  • Substance Abuse Rehabilitation Facility
  • Bakersfield, CA
  • NPI 1073710471
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1831212943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 HODGES ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017368",
            "telephone_number": "337-309-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 HODGES ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017368",
            "telephone_number": "337-419-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDE",
        "first_name": "IVA",
        "middle_name": "K.",
        "name_prefix": "Mrs.",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "208357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Compassionate Covenant Adult Day Health Care Inc.
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• Comprehensive Health Systems Inc.
• Comprehensive Health Systems Inc.
• Comprehensive Surgery Clinic, Apmc
• William R Condos Jr., M.D.
• Leno Hai Congtang, M.D.
• Austin P Conner, PHARM.D.
• Derek Sean Conner, CRNA
• Elisha Dianne Conner, LVN

• All providers in Lake Charles, LA
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.