Active NPI
Lisa Wilhite, RN,MSN,FNP-C
- Family Nurse Practitioner
- Bossier City, LA
National Provider Identifier
1265047013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP08045
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geriatric Nurse Practitioner Consultants Inc | Family | Current | Accepting new patients |
| Willow Chute Medical, LLC | Past | Accepting new patients | |
| Emd Telehealth Solutions LLC | Past | Accepting new patients |
Locations
1006 Highland Ave
Shreveport, LA 71101
Phone (318) 222-6226
Interoperability endpoints
- 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.
-
- Family Nurse Practitioner
- Shreveport, LA
- NPI 1932527249
-
- Internal Medicine Physician
- Shreveport, LA
- NPI 1477106524
-
- Adult Medicine Physician
- Bossier City, LA
- NPI 1639771124
-
- Family Medicine Physician
- Bossier City, LA
- NPI 1033987151
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.