Philip Andrew Lottinger Jr., PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Houma, LA
NPI 1013635937 · NPPES record last updated Aug 16, 2022
Key facts
- NPI
- 1013635937
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 227136 (LA)
- Practice address
- 235 Civic Center Blvd
Houma, LA 70360-5937 - Phone
- (985) 851-0162
- NPI assigned
- Aug 16, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250128001047 | LA | Practitioner - Nurse Practitioner | 8224567805 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Start Corporation | Current |
Accepting new patients | |
| Start Corporation | Current |
Accepting new patients |
Locations
420 Magnolia St
Houma, LA 70360
Phone (985) 873-7784
235 Civic Center Blvd
Houma, LA 70360
Phone (985) 333-2020
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EIFHAD/Endpoint/EIFHAD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 227136 | LA | Yes |
Addresses
Primary practice location
235 Civic Center Blvd
Houma, LA 70360-5937
Mailing address
235 Civic Center Blvd
Houma, LA 70360-5937
Phone (985) 851-0162
Other names
- Mr. Philip Andrew Lottinger Jr.
Other providers in Houma, LA
- Jeffrey P. Long
- Sheridene Leigh Long
- Lorie a. Moreau, D.D.S., a.P.D.C.
- Andrea Rudomin Conant Lorio
- Casey Lottinger
- Louis Infant Crisis Center
- Louis Infant Crisis Center
- Louis Infant Crisis Center
- Evola N Louis
- Louisiana CVS Pharmacy LLC
All providers in Houma, LA · Psychiatric/Mental Health Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.