Individual provider Active NPI

Lillian Leigh Berry Davis, APRN, FNP-C

  • Family Nurse Practitioner
  • Minden, LA
National Provider Identifier
1306092937
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP05572 Issued in LA
Practice address
2 Medical Plaza PL
Minden, LA 71055-3330
Phone
(318) 377-8400
NPI assigned
Aug 14, 2008
Last updated
Apr 23, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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 AP05572 LA Primary

Addresses

Primary practice location

2 Medical Plaza PL
Minden, LA 71055-3330

Mailing address

2 Medical Plaza PL
Minden, LA 71055-3330
Phone (318) 377-8400

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
I20091209000041 LA Practitioner - Nurse Practitioner 3173662889 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medicine Associates of Minden, LLCGroup PAC ID 2567417850, 12 clinicians
Phillips Family Medicine Clinic LLCGroup PAC ID 5799065678, 2 clinicians
Minden Physician Practices LLCGroup PAC ID 4789720004, 48 clinicians

Practice addresses (Care Compare)

1111 Homer Rd
Minden, LA 71055-3027

1117 Homer Rd
Minden, LA 71055-3027
Phone (318) 382-9401

812 Broadway St
Minden, LA 71055-3309
Phone (318) 377-4534

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minden Physician Practices LLC CurrentSince Oct 1, 2014 Accepting new patients
Minden Physician Practices LLC CurrentSince Oct 1, 2014 Accepting new patients

Locations

170 Healthcare Plaza Dr
Haughton, LA 71037
Phone (318) 382-7299

1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042

101 Murrell St
Ste 2
Minden, LA 71055
Phone (318) 377-3111

101 Murrell St
Ste 3
Minden, LA 71055
Phone (318) 371-4050

1111 Homer Rd
Minden, LA 71055
Phone (318) 377-7500

1117 Homer Rd
Minden, LA 71055
Phone (318) 371-2273

2 Medical Plaza Pl
Minden, LA 71055
Phone (318) 377-6500

812 Broadway St
Minden, LA 71055
Phone (318) 377-0010

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEFIAA/Endpoint/BEFIAA
  • Direct secure messaging: lillian.davis.3@3681.direct.athenahealth.com
  • Direct secure messaging: minlidavi@yourcarecommunity.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240444800000",
    "number": "1306092937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PLAZA PL",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553330",
            "telephone_number": "318-377-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PLAZA PL",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553330",
            "telephone_number": "318-377-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LILLIAN LEIGH",
        "middle_name": "BERRY",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2009-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP05572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, LA

Sources for this page

Verify at the official NPI Registry.