Active NPI
Deneisha McClelland
- Psychiatric/Mental Health Nurse Practitioner
- West Monroe, LA
National Provider Identifier
1831955103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 211112
- Practice address
- 105 Regency PL
West Monroe, LA 71291-4453 - Phone
- (318) 398-0945
- Fax
- (318) 398-7154
- NPI assigned
- Feb 26, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 211112 | LA | Primary |
Addresses
Primary practice location
105 Regency PL
West Monroe, LA 71291-4453
Mailing address
105 Regency PL
West Monroe, LA 71291-4453
Other practice location 1
808 Main Street
Logansport, LA 71049-3667
Phone (318) 697-2273
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desoto Regional Family Medicine | Current | Accepting new patients | |
| Desoto Hospital Association | Current | Accepting new patients | |
| Desoto Hospital Association | Past | Accepting new patients |
Locations
130 Jefferson St
Mansfield, LA 71052
Phone (318) 872-2700
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FEDHAA
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Mansfield, LA
- NPI 1043359839
-
- Rural Health Clinic/Center
- Mansfield, LA
- NPI 1962706051
-
- Rural Health Clinic/Center
- Mansfield, LA
- NPI 1043580624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1831955103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 REGENCY PL",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712914453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 REGENCY PL",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712914453",
"telephone_number": "318-398-0945",
"fax_number": "318-398-7154"
}
],
"practiceLocations": [
{
"address_1": "808 MAIN STREET",
"address_purpose": "LOCATION",
"city": "LOGANSPORT",
"state": "LA",
"postal_code": "710493667",
"country_code": "US",
"telephone_number": "318-697-2273",
"fax_number": "318-697-2277",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCLELLAND",
"first_name": "DENEISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-26",
"last_updated": "2025-05-28",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "LA",
"license": "211112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.