Individual provider Active NPI

Lisa W Magliolo, FNP

  • Family Nurse Practitioner
  • Covington, LA
National Provider Identifier
1285119487
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200520 Issued in LA
Practice address
1010 S Polk St
Covington, LA 70433-2474
Phone
(985) 871-5975
Fax
(985) 871-5970
NPI assigned
Oct 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal Newborn Registered Nurse 163WM0102X 100124 LA
Family Nurse Practitioner 363LF0000X 200520 LA Primary

Addresses

Primary practice location

1010 S Polk St
Covington, LA 70433-2474

Mailing address

1010 S Polk St
Covington, LA 70433-2474
Phone (985) 871-5975

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
I20190508002054 LA Practitioner - Nurse Practitioner 7416299656 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

1202 S Tyler St
Covington, LA 70433-2330
Phone (985) 898-3743

1203 S Tyler St
Ochsner Specialty Health Center Northshor
Covington, LA 70433-2353
Phone (985) 875-2828

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
100124LAMDMaternal Newborn Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
St. Tammany Parish Hospital Service District No 1 CurrentSince May 28, 2022 Accepting new patients
Lallie Kemp Medical Ctr Nurse Practitioner CurrentSince Mar 1, 2019 Accepting new patients
Ochsner Clinic LLC CurrentSince Oct 22, 2022 Accepting new patients
St Tammany Parish Hospital Service District No 1 CurrentSince May 28, 2022 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Oct 22, 2022 Accepting new patients
Lallie Kemp Medical Ctr CurrentSince Mar 1, 2019 Accepting new patients

Locations

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

900 Ochsner Blvd
Covington, LA 70433
Phone (985) 249-2383

1203 S Tyler St
Covington, LA 70433
Phone (985) 875-2234

1010 S Polk St
Covington, LA 70433
Phone (985) 871-5975

52579 Highway 51 S
Independence, LA 70443
Phone (985) 878-1349

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

Interoperability endpoints

  • Direct secure messaging: lmagliolo1467883@direct.ochsner.org

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1285119487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S POLK ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332474",
            "telephone_number": "985-871-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S POLK ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332474",
            "telephone_number": "985-871-5975",
            "fax_number": "985-871-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGLIOLO",
        "first_name": "LISA",
        "middle_name": "W",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "LA",
            "license": "100124",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "200520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.