Individual provider Active NPI

Dustin Philip Denicola, APRN-CNP

  • Family Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1831758143
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
206233 Issued in LA
Practice address
2614 Jefferson Hwy
New Orleans, LA 70121-3828
Phone
(504) 314-4242
Fax
(504) 314-4295
NPI assigned
Jun 10, 2019
Last updated
Jun 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 206233 LA Primary

Addresses

Primary practice location

2614 Jefferson Hwy
New Orleans, LA 70121-3828

Mailing address

1264 Avenue Du Chateau
Covington, LA 70433-6423
Phone (504) 914-7889

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190716000072 LA Practitioner - Nurse Practitioner 8820323736 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jan 8, 2020 Accepting new patients
Belle Chasse Physician Services LLC CurrentSince Aug 12, 2019 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Curana Health of Louisiana LLC CurrentSince Jul 22, 2019 Accepting new patients
Ochsner Clinic LLC CurrentSince Jan 8, 2020 Accepting new patients

Locations

1514 Jefferson Hwy
New Orleans, LA 70121

2614 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 291-5100

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1831758143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 AVENUE DU CHATEAU",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704336423",
            "telephone_number": "504-914-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701213828",
            "telephone_number": "504-314-4242",
            "fax_number": "504-314-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENICOLA",
        "first_name": "DUSTIN",
        "middle_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "206233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.