MS. ROSALINE MICHELLE DARTY AP NP NPI 1164430526

NPI Information

  • NPI: 1164430526
  • Provider Name: MS. ROSALINE MICHELLE DARTY, AP NP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1625 DAVID RAINES RD
    SHREVEPORT, LA
    ZIP 71107
  • Phone: (318) 425-2252

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NPI Details

MS. Rosaline Michelle Darty, AP NP is a psychiatric/mental health nurse practitioner in Shreveport, LA with 21 years of experience. MS. Rosaline Michelle Darty, AP NP NPI is 1164430526. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1625 DAVID RAINES RD
SHREVEPORT, LA
ZIP 71107-899
Phone: (318) 425-2252
Fax: (318) 425-2367

The NPI 1164430526 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 3/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0200XRegistered NursePediatricsAP04803LOUISIANANo
2363LP0200XNurse PractitionerPediatricsRN088507-AP04803LOUISIANANo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthAP04803LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11714429MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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