Individual provider Active NPI

Lylafe Hotard, NP

  • Primary Care Nurse Practitioner
  • Patterson, LA
National Provider Identifier
1104650886
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
229631 Issued in LA
Practice address
910 Lia St # 4220
Patterson, LA 70392-4220
Phone
(985) 395-4563
NPI assigned
Aug 27, 2024
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 229631 LA Primary

Addresses

Primary practice location

910 Lia St # 4220
Patterson, LA 70392-4220

Mailing address

910 Lia St # 4220
Patterson, LA 70392-4220
Phone (985) 395-4563

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
I20241015002146 LA Practitioner - Nurse Practitioner 9133651185 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icp Louisiana Aco Billing LLCGroup PAC ID 6103225164, 5 clinicians
SHC Medical Partners of Louisiana, LLCGroup PAC ID 2567906381, 5 clinicians

Practice addresses (Care Compare)

333 Texas St
Suite 1300
Shreveport, LA 71101-3783
Phone (855) 498-6767

336 Lonewa LN
Monroe, LA 71203-6521
Phone (501) 267-9870

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Icp Louisiana Aco Billing LLC Nurse Practitioner CurrentSince Sep 19, 2024 Accepting new patients
Integrated Care Professionals of Lousiana, LLC Nurse Practitioner CurrentSince Sep 19, 2024 Accepting new patients
Abode Care Partners Al VB, LLC Nurse Practitioner CurrentSince Feb 8, 2025 Accepting new patients
SHC Medical Partners of Louisiana, LLC Nurse Practitioner CurrentSince Sep 19, 2024 Accepting new patients
Abode Care Partners Al VB, LLC Nurse Practitioner CurrentSince Feb 8, 2025 Accepting new patients
Abode Care Partners LTC VB, LLC Nurse Practitioner CurrentSince Feb 5, 2025 Accepting new patients
Abode Care Partners LTC VB, LLC Nurse Practitioner CurrentSince Feb 5, 2025 Accepting new patients

Locations

3301 W Main Pl
Russellville, AR 72801
Phone (855) 498-6768

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

333 Texas St
Ste 1300
Shreveport, LA 71101
Phone (318) 723-9341

Organizations & group practices 7

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 2

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": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1104650886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 LIA ST # 4220",
            "city": "PATTERSON",
            "state": "LA",
            "postal_code": "703924220",
            "telephone_number": "985-395-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 LIA ST # 4220",
            "city": "PATTERSON",
            "state": "LA",
            "postal_code": "703924220",
            "telephone_number": "985-395-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOTARD",
        "first_name": "LYLAFE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "229631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patterson, LA

Sources for this page

Verify at the official NPI Registry.