Individual provider Active NPI

Lorenzo Boykin Fisher, APRN, FNP-C

  • Nurse Practitioner
  • Lacombe, LA
National Provider Identifier
1013983378
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP03219 Issued in LA
Practice address
29301 N Dixie Ranch Rd
Lacombe, LA 70445
Phone
(985) 871-4114
Fax
(985) 871-4130
NPI assigned
Feb 27, 2006
Last updated
Sep 6, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP03219 LA Primary

Addresses

Primary practice location

29301 N Dixie Ranch Rd
Lacombe, LA 70445

Mailing address

29301 N Dixie Ranch Rd
Lacombe, LA 70445
Phone (985) 871-4114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040120000846 LA Practitioner - Nurse Practitioner 0244131399 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP03219LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Tammany Parish Hospital Service District No 1 CurrentSince Oct 1, 2022 Accepting new patients
Spine Innovations, LLC CurrentSince Jan 1, 2020 Accepting new patients
St. Tammany Parish Hospital Service District No 1 Past Accepting new patients
United Med Care, Inc Past Accepting new patients
Chair MRI of Louisiana LLC Past Accepting new patients
St. Tammany Parish Hospital Service District No 1 Past Accepting new patients

Locations

80 Gardenia Dr
Covington, LA 70433
Phone (985) 871-5900

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

80 Gardenia Dr
Ste B
Covington, LA 70433
Phone (985) 773-1660

29301 N Dixie Ranch Rd
Lacombe, LA 70445
Phone (985) 871-4114

1520 Highway 22 W
Madisonville, LA 70447
Phone (985) 773-1600

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1013983378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29301 N DIXIE RANCH RD",
            "city": "LACOMBE",
            "state": "LA",
            "postal_code": "70445",
            "telephone_number": "985-871-4114",
            "fax_number": "985-871-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29301 N DIXIE RANCH RD",
            "city": "LACOMBE",
            "state": "LA",
            "postal_code": "70445",
            "telephone_number": "985-871-4114",
            "fax_number": "985-871-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "LORENZO",
        "middle_name": "BOYKIN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP03219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacombe, LA

Sources for this page

Verify at the official NPI Registry.