Individual provider Active NPI

Lisa Raymond-Prinz, NP

  • Acute Care Nurse Practitioner
  • Covington, LA
National Provider Identifier
1033766498
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
204516 Issued in LA
Practice address
648 Crestwood Dr
Covington, LA 70433
Phone
(985) 805-2555
Fax
(985) 400-5303
NPI assigned
Aug 21, 2019
Last updated
Jul 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 204516 LA Primary

Addresses

Primary practice location

648 Crestwood Dr
Covington, LA 70433

Mailing address

200 W Esplanade Ave
Kenner, LA 70065-2489
Phone (504) 464-8588

Other practice location 1

1150 Robert Blvd Ste 220
Slidell, LA 70458-2006
Phone (985) 805-2555

Other practice location 2

433 Plaza St Ste 3A
Bogalusa, LA 70427-3729
Phone (985) 730-6970

Other practice location 3

200 W Esplanade Ave
Kenner, LA 70065-2489
Phone (504) 464-8588

Other names 1

  • Lisa Raymond Former name

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
I20191008000261 LA Practitioner - Nurse Practitioner 3779814678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

200 W Esplanade Ave
Ochsner Clinic Kenner Mob
Kenner, LA 70065-2489
Phone (504) 842-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
204516LAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jun 15, 2020 Accepting new patients
Ochsner Clinic LLC CurrentSince Jun 15, 2020 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Neurocovery, LLC CurrentSince Aug 25, 2019 Accepting new patients
Ochsner Clinic LLC Past Accepting new patients

Locations

648 Crestwood Blvd
Covington, LA 70433
Phone (904) 962-6005

200 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-2940

1514 Jefferson Hwy
New Orleans, LA 70121

1150 Robert Blvd
Ste 220
Slidell, LA 70458
Phone (985) 646-4444

Interoperability endpoints

  • Direct secure messaging: lraymondprinz22195@direct.ochsner.org

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1033766498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ESPLANADE AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652489",
            "telephone_number": "504-464-8588",
            "fax_number": "504-703-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 CRESTWOOD DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-805-2555",
            "fax_number": "985-400-5303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 Robert Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704582006",
            "country_code": "US",
            "telephone_number": "985-805-2555",
            "fax_number": "985-400-5303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "433 Plaza St Ste 3A",
            "address_purpose": "LOCATION",
            "city": "Bogalusa",
            "state": "LA",
            "postal_code": "704273729",
            "country_code": "US",
            "telephone_number": "985-730-6970",
            "fax_number": "985-730-7269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 W Esplanade Ave",
            "address_purpose": "LOCATION",
            "city": "Kenner",
            "state": "LA",
            "postal_code": "700652489",
            "country_code": "US",
            "telephone_number": "504-464-8588",
            "fax_number": "504-703-0332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYMOND-PRINZ",
        "first_name": "LISA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "LA",
            "license": "204516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "RAYMOND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.