Individual provider Active NPI

Susanna Squyres Lewis, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Natchitoches, LA
National Provider Identifier
1184270241
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
206968 Issued in LA
Practice address
740 Keyser Ave Ste E
Natchitoches, LA 71457-6083
Phone
(318) 238-5300
NPI assigned
Aug 14, 2019
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 206968 LA Primary

Addresses

Primary practice location

740 Keyser Ave Ste E
Natchitoches, LA 71457-6083

Mailing address

PO Box 2475
Natchitoches, LA 71457-2475
Phone (318) 238-5300

Other identifiers 1

IdentifierTypeStateIssuer
2514342MedicaidLA

Other names 1

  • Susanna Christine Squyres Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191002000224 LA Practitioner - Nurse Practitioner 9335479526 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calcasieu Urgent Care LLCGroup PAC ID 5496908071, 132 clinicians

Practice addresses (Care Compare)

1121 Polk St
Mansfield, LA 71052-2524
Phone (318) 575-2143

2640 Country Club Rd
Suite 400
Lake Charles, LA 70605-6079
Phone (337) 426-0919

2715 Old Minden Rd
Bossier City, LA 71112-2313
Phone (318) 677-2476

9365 Mansfield Rd
Shreveport, LA 71118-3126
Phone (318) 656-4621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
206968LAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Urgent Care, LLC CurrentSince Sep 14, 2022 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Sep 14, 2022 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients

Locations

9414 E Park Ave
Houma, LA 70363
Phone (985) 601-5895

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

307 Keyser Ave
Natchitoches, LA 71457
Phone (318) 352-5221

132 Well Rd
West Monroe, LA 71291
Phone (318) 217-6521

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1184270241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2475",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714572475",
            "telephone_number": "318-238-5300",
            "fax_number": "318-238-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 KEYSER AVE STE E",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576083",
            "telephone_number": "318-238-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SUSANNA",
        "middle_name": "SQUYRES",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "206968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2514342",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSANNA",
            "last_name": "SQUYRES",
            "middle_name": "CHRISTINE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Natchitoches, LA

Sources for this page

Verify at the official NPI Registry.