Active NPI
Laquinten Peterson, NP
- Family Nurse Practitioner
- Bastrop, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 229719
- Practice address
- 323 W Walnut Ave
Bastrop, LA 71220-4521 - Phone
- (318) 218-6077
- NPI assigned
- Jun 8, 2023
- Last updated
- Aug 17, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 229719 | LA | Primary |
Addresses
Primary practice location
323 W Walnut Ave
Bastrop, LA 71220-4521
Mailing address
PO Box 293
Bastrop, LA 71221-0293
Phone (318) 283-3910
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
323 W Walnut Ave
Bastrop, LA 71220-4521
Phone (318) 283-3910
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 229719 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr James Michael Smith Apmc | Current | Accepting new patients | |
| Morehouse Parish Hospital Service District 1 | Family | Current | Accepting new patients |
| Morehouse General Hospital | Past | Accepting new patients |
Locations
323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600
532 S Washington St
Bastrop, LA 71220
Phone (318) 281-5600
8649 Highway 165 N
Ste 1
Monroe, LA 71203
Phone (318) 283-3980
Interoperability endpoints
- https://fhir.yourcareuniverse.net/tenant/5c9c3d79-6b2c-4465-a5ab-001ebd43fba3
- laquinten.peterson.1@29430.direct.athenahealth.com
Organizations & group practices 3
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.
-
dba MGH Physicians Clinic
- Multi-Specialty Clinic/Center
- Bastrop, LA
- NPI 1891013496
Family
-
- Primary Care Clinic/Center
- Bastrop, LA
- NPI 1508064296
-
- General Acute Care Hospital
- Bastrop, LA
- NPI 1003898313
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bastrop, LA
- NPI 1003898313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1154015329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 293",
"city": "BASTROP",
"state": "LA",
"postal_code": "712210293",
"telephone_number": "318-283-3910",
"fax_number": "318-239-8910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 W WALNUT AVE",
"city": "BASTROP",
"state": "LA",
"postal_code": "712204521",
"telephone_number": "318-218-6077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "LAQUINTEN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-08",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "229719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bastrop, LA
- Stacey Smith Ogden, FNP-C
- One22 Craft Advisors Corporation (Miracle Minds Managed Care)
- Jessica Pack, APRN
- Angela Denise Pegues
- People United of Louisiana LLC (The Carter House for Youth)
- Pharmacy 1920 LLC (Whit's Pharmacy)
- Lisa Allison-Graves Post, R.D./ M.D.
- Danita Renae Potter, PMHNP
- Christin Nikki Powell, APRN
- Claude S Pratt, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.