Lyda Carol Gore Hirchak, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP02336 Issued in LA

Practice address

3330 Masonic Dr
Alexandria, LA 71301-3841

Phone

(318) 487-1122

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
• Direct secure messaging: lyda.hirchak.1@11331.direct.athenahealth.com

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.

• C H Wilkinson Physician Network

  dba CHRISTUS Physician Group

  • Family Medicine Physician
  • Irving, TX
  • NPI 1457382947

  LA, Nurse Practitioner

  Medicare reassignment NPD
• C H Wilkinson Physician Network

  dba CHRISTUS Physician Group

  • Orthopaedic Surgery Physician
  • Corpus Christi, TX
  • NPI 1750826095
  NPD
• Access Health Louisiana

  dba Natchitoches Central High SBHC

  • Federally Qualified Health Center (FQHC)
  • Natchitoches, LA
  • NPI 1134848559
  NPD (past)
• Access Health Louisiana

  dba AHL Eye Associates of West Jefferson

  • Federally Qualified Health Center (FQHC)
  • Marrero, LA
  • NPI 1255226429
  NPD (past)
• Access Health Louisiana

  dba St Charles Community Health Center, Luling

  • Federally Qualified Health Center (FQHC)
  • Kenner, LA
  • NPI 1417999327
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174677744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 HEYMAN LN",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033433",
            "telephone_number": "318-445-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 MASONIC DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013841",
            "telephone_number": "318-487-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORE HIRCHAK",
        "first_name": "LYDA",
        "middle_name": "CAROL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP02336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1673536",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lajuan Goodlow
• Irina A Gordey, MD
• Gordon Ellis White MD,LLC
• Charlamonte L Gordon, RSW, M.ED, LPC
• Mechel Gordon
• Angela P Gore, NURSE PRACTITIONER
• Kelsey Gore
• Tamara Denise Gorham, M.S., CCC-SLP
• Grace Gosserand
• John L Gosserand, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.