Active NPI
Heather Bozeman Lensing, NP-C
- Family Nurse Practitioner
- Monroe, LA
National Provider Identifier
1174811517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP07798
- Practice address
- 920 Oliver Rd
Monroe, LA 71201-5702 - Phone
- (318) 807-6267
- Fax
- (318) 812-6458
- NPI assigned
- Jul 19, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 728472 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP07798 | LA | Primary |
Addresses
Primary practice location
920 Oliver Rd
Monroe, LA 71201-5702
Mailing address
130 Desiard St
Suite 355
Monroe, LA 71201-7319
Phone (318) 807-7875
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2377507 | Medicaid | LA | |
| 852N78 | Other | TX | BLUE CROSS AND BLUE SHIELD |
| 284172801 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP07798 | LA | MD | Family Nurse Practitioner |
| 728472 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560297600000",
"number": "1174811517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 DESIARD ST",
"address_2": "SUITE 355",
"city": "MONROE",
"state": "LA",
"postal_code": "712017319",
"telephone_number": "318-807-7875",
"fax_number": "318-812-6603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 OLIVER RD",
"city": "MONROE",
"state": "LA",
"postal_code": "712015702",
"telephone_number": "318-807-6267",
"fax_number": "318-812-6458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENSING",
"first_name": "HEATHER",
"middle_name": "BOZEMAN",
"name_prefix": "Ms.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-19",
"last_updated": "2019-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "728472",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP07798",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2377507",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIELD",
"identifier": "852N78",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "284172801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.