Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Danielle Jackson Threatts

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1033465778

Danielle Jackson Threatts is a Nurse Practitioner in Lafayette, Louisiana. Qualified in 2012, 14 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Louisiana.

Years since qualifying
14
Licensed in
LA
In the registry since
2012
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Practice location Address checks out

105 Independence Blvd Ste 1
Lafayette, LA 70506-8710
Phone: (337) 534-4087
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP07019 (LA)

Record details

NPI number1033465778
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 31, 2012
Last updated in NPPESMay 1, 2020
Certification dateMay 1, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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