Individual provider Active NPI

Julie Strother Mahaffey, WHNP

  • Women's Health Nurse Practitioner
  • Deridder, LA
National Provider Identifier
1861237299
Registry record updated Jul 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
236150 Issued in LA
Practice address
206 W 5TH St
Deridder, LA 70634-4856
Phone
(337) 462-7160
NPI assigned
Jun 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 236150 LA Primary

Addresses

Primary practice location

206 W 5TH St
Deridder, LA 70634-4856

Mailing address

PO Box 730
Deridder, LA 70634-0730
Phone (337) 404-1708

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
I20240717000801 LA Practitioner - Nurse Practitioner 7618412404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beauregard Women'S Health Center, LLCGroup PAC ID 9234319955, 5 clinicians

Practice addresses (Care Compare)

206 W 5TH St
Deridder, LA 70634-4856
Phone (337) 462-7160

Hospital & facility affiliations

  • Beauregard Memorial Hospital Hospital, Deridder, LA, CCN 190050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
236150LAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beauregard Women'S Health Center, LLC CurrentSince Jul 11, 2024 Accepting new patients
West Louisiana Health Services Inc CurrentSince Oct 12, 2024 Accepting new patients
Beauregard Memorial Hospital Medical Staff Services Past Accepting new patients
Hospital Service District No 2 of Parish of Beauregard State of la Past Accepting new patients

Locations

206 W 5th St
Deridder, LA 70634
Phone (337) 462-7106

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

501 S Pine St
Deridder, LA 70634
Phone (337) 462-3937

931 Verone Ter
Leesville, LA 71446
Phone (337) 238-0620

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 1

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": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720915200000",
    "number": "1861237299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706340730",
            "telephone_number": "337-404-1708",
            "fax_number": "337-404-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W 5TH ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344856",
            "telephone_number": "337-462-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAFFEY",
        "first_name": "JULIE",
        "middle_name": "STROTHER",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-07-14",
        "certification_date": "2024-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "LA",
            "license": "236150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deridder, LA

Sources for this page

Verify at the official NPI Registry.