Individual provider Active NPI

Stacee Leatrice Lacour, FNP

  • Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1245934835
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
228933 Issued in LA
Practice address
2200 N Bolton Ave
Alexandria, LA 71303-4407
Phone
(318) 693-1311
NPI assigned
Mar 28, 2023
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 228933 LA Primary

Addresses

Primary practice location

2200 N Bolton Ave
Alexandria, LA 71303-4407

Mailing address

2200 N Bolton Ave
Alexandria, LA 71303-4407
Phone (318) 693-1311

Other practice location 1

431 W Lafayette St
Winnfield, LA 71483-3463
Phone (318) 648-0375

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
I20230524001071 LA Practitioner - Nurse Practitioner 4981060548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2200 N Bolton Ave
Alexandria, LA 71303-4407
Phone (318) 693-1311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Winn Community Health Center, Inc. Current Accepting new patients
Winn Community Health Center, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Winn Community Health Center, Inc. Nurse Practitioner CurrentSince Jun 1, 2023 Accepting new patients
Winn Community Health Center, Inc. Past Accepting new patients
Winn Community Health Center, Inc. Past Accepting new patients

Locations

1951 Monroe St
Alexandria, LA 71301

2200 N Bolton Ave
Alexandria, LA 71303
Phone (318) 693-1311

310 Richmond Dr
Alexandria, LA 71302

89 Camp Livingston Rd
Ball, LA 71405
Phone 3186480375228

340 Webb Smith Dr
Colfax, LA 71417
Phone (318) 627-3700

835 Main St
Pineville, LA 71360
Phone (318) 442-0878

431 W Lafayette St
Winnfield, LA 71483
Phone (318) 209-4510

Organizations & group practices 5

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": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1245934835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N BOLTON AVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713034407",
            "telephone_number": "318-693-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N BOLTON AVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713034407",
            "telephone_number": "318-693-1311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "431 W Lafayette St",
            "address_purpose": "LOCATION",
            "city": "Winnfield",
            "state": "LA",
            "postal_code": "714833463",
            "country_code": "US",
            "telephone_number": "318-648-0375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACOUR",
        "first_name": "STACEE",
        "middle_name": "LEATRICE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "228933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.