Lucy Douglas, NP

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

License

AP06950 Issued in LA

Practice address

1809 Northpointe LN
Suite 203
Ruston, LA 71270-3853

Phone

(318) 255-3223

Fax

(318) 255-3181

NPI assigned

Aug 21, 2012

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2019 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Seasons Primary Care

  • Family Health Clinical Nurse Specialist
  • Ruston, LA
  • NPI 1245588300
  NPD (past)

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1235487380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 NORTHPOINTE LN",
            "address_2": "SUITE 203",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703853",
            "telephone_number": "318-255-3223",
            "fax_number": "318-255-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 NORTHPOINTE LN",
            "address_2": "SUITE 203",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703853",
            "telephone_number": "318-255-3223",
            "fax_number": "318-255-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "LUCY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "LA",
            "license": "AP06950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "094105",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "AP06950",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shiki Tywan Dixon, M. A. CCC-SLP
• Lauren Elisabeth Dollar
• Toni Marie Dorsett, NP
• Trimity Dorsey
• Felicia Douglas
• Roslyn Trichelle Downs, LCSW
• Dr Allen J Herbert a Medical Corp
• Anthony Drayton
• Terri Dufour, LCSW
• Cornelius Dunaway

• Family Health Clinical Nurse Specialist in Ruston, LA
• Providers in Ruston, LA by specialty
• Family Health Clinical Nurse Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.