Individual provider Active NPI

Peter Brian Crapanzano, M.D.

  • Psychiatry Physician
  • Covington, LA
National Provider Identifier
1922276740
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD.09780R Issued in LA
Practice address
Beacon Healing & Wellness, LLC
671 River Highlands Blvd., Suite 8
Covington, LA 70433
Phone
(985) 624-2942
Fax
(985) 888-1120
NPI assigned
Feb 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD.09780R LA Primary

Addresses

Primary practice location

Beacon Healing & Wellness, LLC
671 River Highlands Blvd., Suite 8
Covington, LA 70433

Mailing address

8901 Chretien Point PL
River Ridge, LA 70123-2714

Other identifiers 1

IdentifierTypeStateIssuer
1689475MedicaidLA

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.09780RLAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Health and Hospitals Past Accepting new patients
Capital Area Human Services District Past Accepting new patients
The Family Practice at Northshore Counseling and Wellness, LLC Past Accepting new patients
Lisa B David MD Apmc Past Accepting new patients
Robert W Davis MD PC Past Accepting new patients
Capital Area Human Services District PastSince Oct 22, 2010 Accepting new patients
Department of Health & Hospital Past Accepting new patients

Organizations & group practices 7

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": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1922276740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 CHRETIEN POINT PL",
            "city": "RIVER RIDGE",
            "state": "LA",
            "postal_code": "701232714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BEACON HEALING & WELLNESS, LLC",
            "address_2": "671 RIVER HIGHLANDS BLVD., SUITE 8",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-624-2942",
            "fax_number": "985-888-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAPANZANO",
        "first_name": "PETER",
        "middle_name": "BRIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-14",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "MD.09780R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689475",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.