Nicole Lassiter, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD.45391 Issued in AL

Practice address

400 Russell Ave BLDG 41
Belle Chasse, LA 70037-1006

Phone

(504) 678-8234

NPI assigned

Apr 5, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1417536681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CYPRESS PARK LN",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700371698",
            "telephone_number": "205-886-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RUSSELL AVE BLDG 41",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700371006",
            "telephone_number": "504-678-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSITER",
        "first_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "MD.45391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nasima Rahman Khan, M.S., NCC, PLPC
• Lori Koehler
• Jessica Emily Landry, M.S. CCC, SLP
• Lauren Barrios Landry, DPT
• Gina M Larose, M.A., NCC
• Amy K Lavis
• Mong Thao Trisha Le, PA-C
• Joanika Leblanc, MS
• Mary Catherine Leger
• Alyssa Leigh Letulle, BCBA, LBA

• General Practice Physician in Belle Chasse, LA
• Providers in Belle Chasse, LA by specialty
• General Practice Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.