Individual provider Active NPI

Stephen Lance Lacaze, FNP

  • Family Nurse Practitioner
  • Iota, LA
National Provider Identifier
1023596053
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10110 Issued in LA
Practice address
119 S 5TH St
Iota, LA 70543-6105
Phone
(337) 779-6000
Fax
(337) 779-2027
NPI assigned
Aug 1, 2018
Last updated
Aug 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP10110 LA Primary

Addresses

Primary practice location

119 S 5TH St
Iota, LA 70543-6105

Mailing address

119 S 5TH St
Iota, LA 70543-6105
Phone (337) 779-6000

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
I20190312003001 LA Practitioner - Nurse Practitioner 9830433754 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SKP Wound Care of Louisiana LLC Nurse Practitioner CurrentSince Nov 1, 2023 Accepting new patients
Sound Physicians Emergency Medicine of Louisiana Inc CurrentSince Jan 1, 2019 Accepting new patients
Crowley Emergency Group LLC Nurse Practitioner CurrentSince May 28, 2021 Accepting new patients
DM Properties of Lafayette, LLC CurrentSince Mar 12, 2019 Accepting new patients
Calcasieu Cameron Emergency Physician Group LLC CurrentSince Jan 12, 2026 Accepting new patients
DM Properties of Lafayette, LLC CurrentSince Mar 12, 2019 Accepting new patients

Locations

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

3601 Jackson Street Ext
Alexandria, LA 71303
Phone (318) 787-6877

2351 Viking Dr
Bossier City, LA 71111
Phone (318) 681-4500

1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222

576 N Avenue G
Ste B
Crowley, LA 70526
Phone (337) 581-2612

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

2705 Highway 28 E
Pineville, LA 71360
Phone (318) 704-6770

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

Interoperability endpoints

  • Direct secure messaging: slacaze1443579@direct.ochsner.org
  • Direct secure messaging: stephen.lacaze.1@17321.direct.athenahealth.com

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": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1023596053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S 5TH ST",
            "city": "IOTA",
            "state": "LA",
            "postal_code": "705436105",
            "telephone_number": "337-779-6000",
            "fax_number": "337-779-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S 5TH ST",
            "city": "IOTA",
            "state": "LA",
            "postal_code": "705436105",
            "telephone_number": "337-779-6000",
            "fax_number": "337-779-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACAZE",
        "first_name": "STEPHEN",
        "middle_name": "LANCE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP10110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iota, LA

Sources for this page

Verify at the official NPI Registry.