Individual provider Active NPI

Bruna Delima-Mujica

  • Family Nurse Practitioner
  • Belle Chasse, LA
National Provider Identifier
1851905392
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
215412 Issued in LA
Practice address
102 Wild Magnolia Cir
Belle Chasse, LA 70037-1688
Phone
(810) 542-0285
NPI assigned
Sep 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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 215412 LA Primary

Addresses

Primary practice location

102 Wild Magnolia Cir
Belle Chasse, LA 70037-1688

Mailing address

102 Wild Magnolia Cir
Belle Chasse, LA 70037-1688
Phone (810) 542-0285

Other practice location 1

1221 Amelia St
Gretna, LA 70053-5533
Phone (504) 364-1844

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
I20220104002321 LA Practitioner - Nurse Practitioner 2264823178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1415 Tulane Ave
New Orleans, LA 70112-2600
Phone (504) 988-5800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Oct 18, 2021 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Oct 18, 2021 Accepting new patients
Hai Nam Nguyen, MD LLC Family PastSince Sep 1, 2017 Accepting new patients
Gretna Medical Center LLC Past Accepting new patients

Locations

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1415 Tulane Ave
Fl 5
New Orleans, LA 70112
Phone (504) 988-1001

1430 Tulane Ave
#8545
New Orleans, LA 70112
Phone (504) 988-5346

1661 Canal St
Ste 1001
New Orleans, LA 70112
Phone (504) 581-4957

1415 Tulane Ave
Fl 6
New Orleans, LA 70112
Phone (504) 988-5110

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1851905392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WILD MAGNOLIA CIR",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700371688",
            "telephone_number": "810-542-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WILD MAGNOLIA CIR",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700371688",
            "telephone_number": "810-542-0285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 Amelia St",
            "address_purpose": "LOCATION",
            "city": "Gretna",
            "state": "LA",
            "postal_code": "700535533",
            "country_code": "US",
            "telephone_number": "504-364-1844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELIMA-MUJICA",
        "first_name": "BRUNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "215412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Chasse, LA

Sources for this page

Verify at the official NPI Registry.