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DPDNP, LLC
NPI 1225638737
Nurse Practitioner - Primary Care in Covington, LA

Active since October 26, 2020CLIA 19D2326414 · Waiver
1264 AVENUE DU CHATEAU, COVINGTON, LA 70433(504) 914-7889 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dpdnp, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DPDNP, LLC (NPI 1225638737) is a healthcare organization registered as a primary care in Covington, Louisiana and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through July 1, 2027 and lists Dustin Philip Denicola, Member, as its authorized official.

NPPES Registry Identity

NPI1225638737
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameDPDNP, LLC
Location Address1264 AVENUE DU CHATEAUCovington, LA 70433-6423
Mailing Address1264 Avenue Du ChateauCovington, LA 70433-6423 · (504) 914-7889
Phone(504) 914-7889
Organization SubpartNo
Authorized OfficialDustin Philip DenicolaMember · (504) 914-7889
Enumeration DateOctober 26, 2020
NPPES CertifiedOctober 26, 2020
✔ NPI 1225638737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
1264 AVENUE DU CHATEAU, Covington, LA 70433
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2326414

Dpdnp LLC Dba Vitalis Health And Wellness · Covington, LA
Active · expires Jul 1, 2027
CLIA Number19D2326414
Laboratory TypeNurse Practitioner Mobile
Certificate Effective DateJuly 2, 2025
Certificate Expiration DateJuly 1, 2027
Laboratory DirectorDustin Denicola
Laboratory Phone(504) 914-7889
Laboratory LocationDpdnp LLC Dba Vitalis Health And Wellness1264 Avenue Du Chateau, Covington, LA 70433
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dpdnp, LLC's NPI number?

The NPI number for Dpdnp, LLC is 1225638737. It was assigned to this organization in the NPPES registry on October 26, 2020.

Where is Dpdnp, LLC located?

Dpdnp, LLC is located at 1264 Avenue Du Chateau, Covington, LA 70433. The listed phone number is (504) 914-7889.

What is Dpdnp, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Dpdnp, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2326414) is associated with this NPI, valid through July 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dpdnp, LLC was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.