Active NPI
Chanelle Dequina
- Massage Therapist
- New Orleans, LA
National Provider Identifier
1831791797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 8365
- Practice address
- 1124 Saint Charles Ave
New Orleans, LA 70130-4332 - Phone
- (312) 351-2210
- NPI assigned
- Nov 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 8365 | LA | Primary |
Addresses
Primary practice location
1124 Saint Charles Ave
New Orleans, LA 70130-4332
Mailing address
1239 Carondelet St
New Orleans, LA 70130-4319
Phone (312) 351-2210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8365 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605312000000",
"number": "1831791797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1239 CARONDELET ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701304319",
"telephone_number": "312-351-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 SAINT CHARLES AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701304332",
"telephone_number": "312-351-2210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEQUINA",
"first_name": "CHANELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-14",
"last_updated": "2020-11-14",
"certification_date": "2020-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "LA",
"license": "8365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
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- Denice Lorraine Derbes, DDS
- Stephen Joseph Derbes, MD
- Bethany Derby, MA, LPC
- Amy Deris, MD
- Kelly M Derise
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.