Active NPI
Vaneesa M. Quave, R.N.,BSN
- Community Health Registered Nurse
- Deridder, LA
National Provider Identifier
1871849067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- RN08555
- Practice address
- 216 Evangeline St
Deridder, LA 70634-4251 - Phone
- (337) 463-4486
- Fax
- (337) 462-2486
- NPI assigned
- Jul 25, 2012
- 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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN08555 | LA | Primary |
Addresses
Primary practice location
216 Evangeline St
Deridder, LA 70634-4251
Mailing address
216 Evangeline St.
P.O.Box 327
Deridder, LA 70634
Phone (337) 463-4486
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN08555 | LA | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana Department of Health - Office of Public Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Public Health or Welfare Agency
- Baton Rouge, LA
- NPI 1396316212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468454400000",
"number": "1871849067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 EVANGELINE ST.",
"address_2": "P.O.BOX 327",
"city": "DERIDDER",
"state": "LA",
"postal_code": "70634",
"telephone_number": "337-463-4486",
"fax_number": "337-462-2486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 EVANGELINE ST",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706344251",
"telephone_number": "337-463-4486",
"fax_number": "337-462-2486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUAVE",
"first_name": "VANEESA",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "R.N.,BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-25",
"last_updated": "2016-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "LA",
"license": "RN08555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deridder, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.