Stacee Leatrice Lacour, FNP
Individual provider Active NPI Nurse Practitioner · Alexandria, LA
NPI 1245934835 · NPPES record last updated Apr 24, 2023
Key facts
- NPI
- 1245934835
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 228933 (LA)
- Practice address
- 2200 N Bolton Ave
Alexandria, LA 71303-4407 - Phone
- (318) 693-1311
- NPI assigned
- Mar 28, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Winn Community Health Center, Inc.
Practice addresses (Care Compare)
2200 N Bolton Ave
Alexandria, LA 71303-4407
Phone (318) 693-1311
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230524001071 | LA | Practitioner - Nurse Practitioner | 4981060548 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winn Community Health Center, Inc. | Current |
Accepting new patients | |
| Winn Community Health Center, Inc. | Nurse Practitioner | Current |
Accepting new patients |
| Winn Community Health Center, Inc. | Current | 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
310 Richmond Dr
Alexandria, LA 71302
2200 N Bolton Ave
Alexandria, LA 71303
Phone (318) 693-1311
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 228933 | LA | Yes |
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
Other providers in Alexandria, LA
- Kasey Lacombe-Bridges
- Tyler Lacombe
- George H Lacour
- Melanie Blade Lacour
- Nini Lacour
- Lafayette Kidney Care LLC
- Kendra R Lafountain
- Christopher Curt Lahaye
- Devjani Lahiri-Munir
- Taryn Laidler-Mossey
All providers in Alexandria, LA · Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.