Individual provider Active NPI

Lisa Wilhite, RN,MSN,FNP-C

  • Family Nurse Practitioner
  • Bossier City, LA
National Provider Identifier
1265047013
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08045 Issued in LA
Practice address
2901 Douglas Dr
Bossier City, LA 71111-5807
Phone
(318) 747-2700
NPI assigned
Sep 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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 AP08045 LA Primary

Addresses

Primary practice location

2901 Douglas Dr
Bossier City, LA 71111-5807

Mailing address

116 Deer Chase PT
Bossier City, LA 71111-8174
Phone (318) 588-4416

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
I20230928002262 LA Practitioner - Nurse Practitioner 7719331479 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Nurse Practitioner Consultants Inc Family CurrentSince Oct 12, 2024 Accepting new patients
Willow Chute Medical, LLC Past Accepting new patients
Emd Telehealth Solutions LLC PastSince Mar 1, 2023 Accepting new patients

Locations

1006 Highland Ave
Shreveport, LA 71101
Phone (318) 222-6226

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IABFCD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1265047013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 DEER CHASE PT",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711118174",
            "telephone_number": "318-588-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 DOUGLAS DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115807",
            "telephone_number": "318-747-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILHITE",
        "first_name": "LISA",
        "credential": "RN,MSN,FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.