Individual provider Active NPI

Lula Owens Hoskins, FNP

  • Nurse Practitioner
  • Clarksdale, MS
National Provider Identifier
1316979826
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R699373 Issued in MS
Practice address
800 Ohio Ave
Clarksdale, MS 38614-7200
Phone
(662) 624-4292
Fax
(662) 624-4354
NPI assigned
Jul 7, 2006
Last updated
Jul 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R699373 MS Primary

Addresses

Primary practice location

800 Ohio Ave
Clarksdale, MS 38614-7200

Mailing address

800 Ohio Avenue
Clarksdale, MS 38614-7200
Phone (662) 624-4292

Other identifiers 2

IdentifierTypeStateIssuer
00126269MedicaidMS
158963758OtherARMEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20110118000841 MS Practitioner - Nurse Practitioner 4981893229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Healthy You Medical Clinic LLCGroup PAC ID 3274818265, 2 clinicians

Practice addresses (Care Compare)

1202 Desoto Ave
Clarksdale, MS 38614-6937
Phone (662) 209-1202

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R699373MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A Healthy You Medical Clinic, 'L.L.C.' Nurse Practitioner CurrentSince Dec 21, 2016 Accepting new patients
Autospa-Healthy Youth Center Past Accepting new patients
Clarksdale Hma LLC Past Accepting new patients

Locations

1202 Desoto Ave
Ste A
Clarksdale, MS 38614
Phone (662) 209-1202

1202 Highway 49 S
Clarksdale, MS 38614
Phone (662) 202-1297

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19269/brand/1/csg/1/fhir/r4

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 1

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1316979826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 OHIO AVENUE",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386147200",
            "telephone_number": "662-624-4292",
            "fax_number": "662-624-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OHIO AVE",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386147200",
            "telephone_number": "662-624-4292",
            "fax_number": "662-624-4354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSKINS",
        "first_name": "LULA",
        "middle_name": "OWENS",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R699373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00126269",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "158963758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksdale, MS

Sources for this page

Verify at the official NPI Registry.