Active NPI
Dale L. Banks Jr., NP
- Family Nurse Practitioner
- Gretna, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP07146
- Practice address
- 441 Wall Blvd
Gretna, LA 70056-7723 - Phone
- (504) 371-6550
- NPI assigned
- May 20, 2013
- Last updated
- Oct 28, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP07146 | LA | Primary |
| Family Nurse Practitioner | 363LF0000X | RN119373 | LA |
Addresses
Primary practice location
441 Wall Blvd
Gretna, LA 70056-7723
Mailing address
441 Wall Blvd
Gretna, LA 70056-7723
Phone (504) 371-6550
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP07146 | LA | MD | Family Nurse Practitioner |
| RN119373 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Jeffcare | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients |
Locations
441 Wall Blvd
Gretna, LA 70056
Phone (504) 265-0207
3616 S I 10 Service Rd W
Ste 100
Metairie, LA 70001
Phone (504) 838-5215
3616 S I 10 Service Rd W
Ste 200
Metairie, LA 70001
Phone (504) 535-2430
1514 Jefferson Hwy
New Orleans, LA 70121
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba JeffCare East Jefferson
- Federally Qualified Health Center (FQHC)
- Metairie, LA
- NPI 1518383785
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
dba Diabetes Prevention Program
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
dba Ochsner Clinic Foundation Lake Vista
- General Practice Physician
- New Orleans, LA
- NPI 1134328107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414454400000",
"number": "1912343799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 WALL BLVD",
"city": "GRETNA",
"state": "LA",
"postal_code": "700567723",
"telephone_number": "504-371-6550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 WALL BLVD",
"city": "GRETNA",
"state": "LA",
"postal_code": "700567723",
"telephone_number": "504-371-6550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "DALE",
"middle_name": "L.",
"name_suffix": "Jr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-20",
"last_updated": "2014-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP07146",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "RN119373",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gretna, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.