David Michael Lofstrom, A.P.R.N.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN073531-AP03121 Issued in LA

Practice address

707 South Vienna
Ruston, LA 71270-5845

Phone

(318) 251-8001

Fax

(318) 699-8845

NPI assigned

Feb 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: david.lofstrom.p1@direct.lapaincare.nextgenshare.com
• Direct secure messaging: david.lofstrom.p2@direct.lapaincare.nextgenshare.com

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

• Louisiana Pain Care, LLC

  • Interventional Pain Medicine Physician
  • Monroe, LA
  • NPI 1659300739
  Medicare reassignment
• Steven P. Unkel, M.D., a.M.C.

  • Family Medicine Physician
  • Farmerville, LA
  • NPI 1265492094
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1053384495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 NORTHPOINTE LANE",
            "address_2": "SUITE 203",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703852",
            "telephone_number": "318-251-8001",
            "fax_number": "318-699-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 SOUTH VIENNA",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705845",
            "telephone_number": "318-251-8001",
            "fax_number": "318-699-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFSTROM",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "RN073531",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "LA",
            "license": "RN073531",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN073531-AP03121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1698318",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lincoln Parish School Board
• Derek Christopher Liston, M.D.
• Little Helper's, LLC
• Angella Livingston, MA, LPC
• Shunda Lloyd
• Emory Long
• Louisiana Tech Speech and Hearing Center
• Louisiana Tech University (Louisiana Tech Speech and Hearing Center)
• Louisiana United Methodist Children & Family Services, Inc (Methodist Foster Care Ruston)
• Louisiana United Methodist Children & Family Services, Inc (Methodist Children's Home)

• Family Nurse Practitioner in Ruston, LA
• Providers in Ruston, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.