Lasaundra Roberts, APMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Meridian, MS
NPI 1275847873 · NPPES record last updated Dec 12, 2013
Key facts
- NPI
- 1275847873
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- R874069 (MS)
- Practice address
- 1818 College Drive
Meridian, MS 39307-5429 - Phone
- (601) 581-7600
- Fax
- (601) 483-5543
- NPI assigned
- Aug 6, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Behavioral Medicine Clinic, PA
Laird Hospital, Inc.
Kemper Cah, Inc.
Practice addresses (Care Compare)
2208 Hwy 39 N
Meridian, MS 39301-2605
Phone (601) 482-2400
252 Northside Dr
Newton, MS 39345-9756
Phone (601) 683-3117
4331 Hwy 39 N
Meridian, MS 39301-1007
Phone (601) 484-6180
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- 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 |
|---|---|---|---|---|
| I20101103000989 | MS | Practitioner - Nurse Practitioner | 6406040484 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R874069 | MS | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Medicine Clinic,PA | Current |
Accepting new patients | |
| Kemper, Cah, Inc. | Current |
Accepting new patients | |
| Laird Hospital, Inc. | Current |
Accepting new patients | |
| Laird Hospital, Inc. | Current | Accepting new patients | |
| Laird Hospital, Inc. | Current |
Accepting new patients | |
| Kemper Cah, Inc | Current |
Accepting new patients | |
| Kemper Cah, Inc. | Current | Accepting new patients | |
| Maxie Gordon MD & Associates, PLLC | Past | Accepting new patients |
Locations
9097 Collinsville Rd
Collinsville, MS 39325
Phone (601) 626-8874
14365 Highway 16 W
De Kalb, MS 39328
Phone (769) 486-1000
4331 Highway 39 N
Meridian, MS 39301
Phone (601) 482-5735
252 Northside Dr
Newton, MS 39345
Phone (601) 683-3117
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R874069 | MS | Yes |
Addresses
Primary practice location
1818 College Drive
Meridian, MS 39307-5429
Mailing address
P.O. Box 4128 West Station
Meridian, MS 39304-4128
Phone (601) 581-7719
Other providers in Meridian, MS
- Robert Crockett Enterprise LLC
- Robert J Berg, MD PA
- Colby Roberts
- Denise D Roberts
- Jamey D. Roberts
- Ronnica R Roberts
- Barbara Robinson
- Josh Robinson
- Jennifer J Rodriguez
- Sonia Rodriguez
All providers in Meridian, MS · Psychiatric/Mental Health Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2013. 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.