Mary Lancaster, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP08326 Issued in LA

Practice address

1640 Breazeale Springs St
Natchitoches, LA 71457-4278

Phone

(318) 352-9299

Fax

(318) 521-8031

NPI assigned

Aug 28, 2015

Last updated

Oct 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.lancaster@direct.la-hie.org
• Direct secure messaging: nrmc.outpatient.center@direct.la-hie.org

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.

• Outpatient Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Natchitoches, LA
  • NPI 1871523266

  Nurse Practitioner

  Medicare reassignment NPD
• Natchitoches Parish Hospital Service District

  dba Natchitoches Regional Medical Center

  • General Acute Care Hospital
  • Natchitoches, LA
  • NPI 1669542346
  NPD (past)
• Outpatient Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Natchitoches, LA
  • NPI 1154832434
  NPD (past)
• Outpatient Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Leesville, LA
  • NPI 1285664508

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1164899845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 JEFFERSON ST OFC",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714574350",
            "telephone_number": "318-357-2056",
            "fax_number": "318-521-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 BREAZEALE SPRINGS ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714574278",
            "telephone_number": "318-352-9299",
            "fax_number": "318-521-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCASTER",
        "first_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP08326",
            "primary": true
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "LA",
            "license": "AP08326",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AP08326",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2433601",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Lacaze
• Kiara Lacaze
• Christopher Lacour, PHARMD
• Lagniappe Homecare Northwest Louisiana Inc
• Lagniappe Homecare Shreveport Bossier LLC
• Sandra K Lane
• Lindsay E Laprarie, PA
• Kelci Latchie
• Stacie Cason Laughlin
• Anitria Lawrence

• Nurse Practitioner in Natchitoches, LA
• Providers in Natchitoches, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.