Individual provider Active NPI

Vaneesa M. Quave, R.N.,BSN

  • Community Health Registered Nurse
  • Deridder, LA
National Provider Identifier
1871849067
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
RN08555 Issued in LA
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

Updated by the provider on Jul 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN08555LAMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.