Active NPI
Lisa Pena Miller, ANP-C
- Community Health Nurse Practitioner
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Nurse Practitioner
- License
- AP05930
- Practice address
- 2390 W Congress St
Lafayette, LA 70506-4205 - Phone
- (337) 261-6759
- Fax
- (337) 261-6795
- NPI assigned
- Sep 23, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Nurse Practitioner | 363LC1500X | AP05930 | LA | Primary |
Addresses
Primary practice location
2390 W Congress St
Lafayette, LA 70506-4205
Mailing address
414 Woodvale Ave
Lafayette, LA 70503-3434
Phone (337) 326-0202
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2390 W Congress St
Lafayette, LA 70506-4205
Phone (337) 261-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Island Side Health LLC | Current | Accepting new patients | |
| University Hospital & Clinics Inc | Current | Accepting new patients | |
| Lafayette General Medical Center Inc | Current | Accepting new patients | |
| University Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Lafayette General Medical Center Inc. | Current | Accepting new patients | |
| Lafayette Health Ventures Inc | Current | Accepting new patients | |
| Lafayette Health Ventures Inc | Current | Accepting new patients | |
| University Hospital and Clinics, Inc. | Current | Accepting new patients | |
| Lafayette General Medical Center Inc. | Current | Accepting new patients | |
| University Hospital & Clinics, Inc. | Past | Accepting new patients |
Locations
210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178
1216 Camellia Blvd
Lafayette, LA 70508
Phone (337) 769-0069
2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000
1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191
601 W Saint Mary Blvd
Ste 4
Lafayette, LA 70506
Phone (337) 233-3731
4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201
102 Independence Blvd
Lafayette, LA 70506
Phone (337) 277-8345
Interoperability endpoints
- lmiller1443329@direct.ochsner.org
Organizations & group practices 10
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.
-
- Anesthesiology Physician
- Lafayette, LA
- NPI 1639518087
-
- Cardiovascular Disease Physician
- Lafayette, LA
- NPI 1649408832
-
- Family Medicine Physician
- Lafayette, LA
- NPI 1417986092
-
- Primary Care Clinic/Center
- Lafayette, LA
- NPI 1306655311
-
- Specialist
- Lafayette, LA
- NPI 1518577030
-
- Community/Retail Pharmacy
- Lafayette, LA
- NPI 1023638715
-
- Anesthesiology Physician
- Jennings, LA
- NPI 1063124568
-
- Community/Retail Pharmacy
- Lafayette, LA
- NPI 1740739044
-
- Clinic/Center
- Lafayette, LA
- NPI 1265042782
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1306281126
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1306281126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628208000000",
"number": "1093049173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 WOODVALE AVE",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705033434",
"telephone_number": "337-326-0202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2390 W CONGRESS ST",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705064205",
"telephone_number": "337-261-6759",
"fax_number": "337-261-6795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LISA",
"middle_name": "PENA",
"name_prefix": "Mrs.",
"credential": "ANP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-23",
"last_updated": "2021-08-06",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LC1500X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Community Health",
"state": "LA",
"license": "AP05930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.