Lezerrica Ford, RN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Clinton, LA
NPI 1124889829 · NPPES record last updated Jul 23, 2024
Key facts
- NPI
- 1124889829
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 234383 (LA)
- Practice address
- 11990 Jackson St
Clinton, LA 70722-3210 - Phone
- (225) 683-5292
- Fax
- (225) 683-1310
- NPI assigned
- Jan 19, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Recovery Innovations Inc
Practice addresses (Care Compare)
3455 Florida St
Suite 400
Baton Rouge, LA 70806-3764
Phone (225) 256-6604
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240411003083 | LA | Practitioner - Nurse Practitioner | 9537508460 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN157056 | LA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Providers for a Healthy Feliciana, Inc | Current |
Accepting new patients | |
| Primary Care Providers for a Healthy Feliciana, Inc. | Current | Accepting new patients | |
| Recovery Innovations, Inc | Current |
Accepting new patients | |
| Primary Care Providers for a Healthy Feliciana, Inc | Current |
Accepting new patients | |
| Recovery Innovations, Inc | Current |
Accepting new patients | |
| Signify Health, LLC | Nurse Practitioner | Current |
Accepting new patients |
| M & M Behavioral Health Center LLC | Past | Accepting new patients |
Locations
2701 N 16th St
Ste 316
Phoenix, AZ 85006
3455 Florida St
Ste 400
Baton Rouge, LA 70806
Phone (225) 256-6604
11990 Jackson St
Clinton, LA 70722
Phone (225) 570-6111
201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 582-1416
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- lezerrica.ford.p1@direct.rkmprimarycare.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 234383 | LA | Yes |
| Registered Nurse | 163W00000X | RN157056 | LA |
Addresses
Primary practice location
11990 Jackson St
Clinton, LA 70722-3210
Mailing address
PO Box 395
Clinton, LA 70722-0395
Phone (225) 683-5292
Other providers in Clinton, LA
- Feliciana Health Services, Inc.
- Feliciana Home Health Inc
- Feliciana Physical Therapy, LLC
- Felicianas' Youth of Distinction Behavioral Health, LLC
- Scott J. Fin
- Astria Dette Franklin
- Joy L Gardner
- Jillian Gautier
- Shannon C Gavin
- Natasha Danielle Gay
All providers in Clinton, LA · Psychiatric/Mental Health Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.