Active NPI
Sattaria Dilks, APRN-BC, LPC,LMFT
- Psychiatric/Mental Health Nurse Practitioner
- Lake Charles, LA
National Provider Identifier
1922067131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 03975
- Practice address
- 324 West Hale St
Lake Charles, LA 70601 - Phone
- (337) 433-9177
- Fax
- (337) 433-9173
- NPI assigned
- Mar 17, 2006
- Last updated
- Feb 17, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 442 | LA | |
| Marriage & Family Therapist | 106H00000X | 140 | LA | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 039605 | LA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 03975 | LA | Primary |
Addresses
Primary practice location
324 West Hale St
Lake Charles, LA 70601
Mailing address
324 West Hale St
Lake Charles, LA 70601
Phone (337) 433-9177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1141861 | Medicaid | LA |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 442 | LA | MD | Counseling Psychologist |
| 140 | LA | MD | Clinical Social Worker |
| 039605 | LA | MD | Psychiatric/Mental Health Registered Nurse |
| 03975 | LA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581897600000",
"number": "1922067131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 WEST HALE ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "70601",
"telephone_number": "337-433-9177",
"fax_number": "337-433-9173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 WEST HALE ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "70601",
"telephone_number": "337-433-9177",
"fax_number": "337-433-9173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILKS",
"first_name": "SATTARIA",
"credential": "APRN-BC, LPC,LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "442",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "LA",
"license": "140",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "LA",
"license": "039605",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "LA",
"license": "03975",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1141861",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.