Individual provider Active NPI

Lawanda Renee Banks, NP-C

  • Family Nurse Practitioner
  • Winnsboro, LA
National Provider Identifier
1346917895
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
221463 Issued in LA
Practice address
2104 Loop Rd Ste C
Winnsboro, LA 71295-3341
Phone
(318) 435-4571
Fax
(318) 435-6519
NPI assigned
Aug 24, 2021
Last updated
May 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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 221463 LA Primary

Addresses

Primary practice location

2104 Loop Rd Ste C
Winnsboro, LA 71295-3341

Mailing address

41 South Lala Lane
Rayville, LA 71269
Phone (318) 663-9608

Other practice location 1

1962 Julia St
Rayville, LA 71269-5527
Phone (318) 728-8833

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
I20230522001345 LA Practitioner - Nurse Practitioner 0345606141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2106 Loop Rd
Winnsboro, LA 71295-1300

2106 Loop Rd
Winnsboro, LA 71295-3344
Phone (318) 412-5265

PO Box
Suite 1300
Winnsboro, LA 71295

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
221463LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Parish Hospital Service Dist 1 CurrentSince May 1, 2023 Accepting new patients
Franklin Parish Hospital Service Dist 1 CurrentSince May 1, 2023 Accepting new patients
Franklin Parish Hospital Service Dist 1 Past Accepting new patients

Locations

104 Verona St
Newellton, LA 71357
Phone (318) 467-2349

448 Newton St
Saint Joseph, LA 71366
Phone (318) 766-8506

2104 Loop Rd
Ste C
Winnsboro, LA 71295
Phone (318) 435-4571

2106 Loop Rd
Winnsboro, LA 71295
Phone (318) 282-8482

5745 Highway 17
Winnsboro, LA 71295
Phone (318) 722-3333

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": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1346917895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 SOUTH LALA LANE",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "71269",
            "telephone_number": "318-663-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 LOOP RD STE C",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712953341",
            "telephone_number": "318-435-4571",
            "fax_number": "318-435-6519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1962 Julia St",
            "address_purpose": "LOCATION",
            "city": "Rayville",
            "state": "LA",
            "postal_code": "712695527",
            "country_code": "US",
            "telephone_number": "318-728-8833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANKS",
        "first_name": "LAWANDA",
        "middle_name": "RENEE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "221463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnsboro, LA

Sources for this page

Verify at the official NPI Registry.