NPIMap

Individual provider Active NPI

Letitia Lincecum, FNP

  • Family Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1346655289
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07924 Issued in LA
Practice address
3311 Prescott Rd Ste 411
Alexandria, LA 71301-3985
Phone
(318) 664-3536
Fax
(318) 448-7110
NPI assigned
Jun 30, 2014
Last updated
Apr 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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 AP07924 LA Primary

Addresses

Primary practice location

3311 Prescott Rd Ste 411
Alexandria, LA 71301-3985

Mailing address

3311 Prescott Rd Ste 411
Alexandria, LA 71301-3985
Phone (318) 664-3536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141007002023 LA Practitioner - Nurse Practitioner 0840410247 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

3000 S Macarthur Dr
Christus Comm Clinic Alexandria
Alexandria, LA 71301-2927
Phone (318) 448-6800

3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 487-1122

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Dec 1, 2020 Accepting new patients
C H Wilkinson Physician Network Nurse Practitioner CurrentSince Jul 1, 2014 Accepting new patients
Christus Health Central Louisiana CurrentSince Feb 9, 2016 Accepting new patients
Christus Health Central Louisiana CurrentSince Feb 9, 2016 Accepting new patients
C H Wilkinson Physician Network CurrentSince Jul 1, 2014 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Dec 1, 2020 Accepting new patients
Alexandria Gastrointestinal Specialists, LLC CurrentSince Apr 1, 2016 Accepting new patients

Locations

3000 S MacArthur Dr
Alexandria, LA 71301
Phone (318) 448-6800

3311 Prescott Rd
Ste 411
Alexandria, LA 71301
Phone (318) 448-5310

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

3351 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6800

308 Griffith St
Pineville, LA 71360
Phone (318) 528-5000

1 Saint Mary Pl
Shreveport, LA 71101
Phone (318) 681-4500

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
  • Direct secure messaging: llincecum420124@christushealth.direct-ci.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1346655289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 PRESCOTT RD STE 411",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013985",
            "telephone_number": "318-664-3536",
            "fax_number": "318-448-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 PRESCOTT RD STE 411",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013985",
            "telephone_number": "318-664-3536",
            "fax_number": "318-448-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINCECUM",
        "first_name": "LETITIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.