H10 Pediatrics & Family Clinic LLC
Organization Active NPI Primary Care Nurse Practitioner · Greensburg, LA
NPI 1386539666 · NPPES record last updated Jun 9, 2025
Key facts
- NPI
- 1386539666
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- Legal business name
- H10 PEDIATRICS & FAMILY CLINIC LLC
- Practice address
- 33 Church St
Greensburg, LA 70441 - Phone
- (225) 485-2230
- NPI assigned
- Jun 9, 2025
- Organization subpart
- No
Authorized official
- Name
- Dr. Lara McIntyre Aguirre, DNP, APRN, FNP-C
- Title
- Owner, FNP
- Phone
- (225) 485-2230
Practitioners 2
-
Tammy Smith, NP
-
Lara McIntyre Aguirre, DNP, APRN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2328487 | H10 Pediatrics & Family Clinic LLC | Certificate of waiver | Aug 10, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250926001571 | LA | Part B Supplier - Clinic/Group Practice | 0244735546 |
Receives reassigned benefits from 1 practitioner Practice locations: Greensburg, LA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | |||
| Primary Care Nurse Practitioner |
363LP2300X | Yes |
Addresses
Primary practice location
33 Church St
Greensburg, LA 70441
Mailing address
25135 La Highway 1032
Denham SPGS, LA 70726-5614
Phone (225) 485-2230
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720006315 | Medicaid | LA | |
| 1366071318 | Medicaid | LA |
Other providers in Greensburg, LA
- Audrey Clark Gordon
- Greensburg Family Pharmacy
- Greensburg Family Pharmacy LLC
- Daranecia Griffin
- Jennifer Guillory
- Dale Valerie Haase
- Dreveion Oneal Hitchen
- Rose Hitchen
- Judy Lynne Hornbostel-Baker
- Jimmie W Varnado
All providers in Greensburg, LA · Primary Care Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.