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

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2328487H10 Pediatrics & Family Clinic LLC
33 Church Street, Greensburg, LA 70441
Certificate of waiverAug 10, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
Primary Care Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
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

IdentifierTypeStateIssuer
1720006315MedicaidLA
1366071318MedicaidLA

Other providers in Greensburg, LA

All providers in Greensburg, LA · Primary Care Nurse Practitioner in Louisiana

Sources for this page

Verify at the official NPI Registry.