Active NPI
Lavechelle Pillers, FNP
- Family Nurse Practitioner
- Jackson, MS
National Provider Identifier
1477023596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 901938
- Practice address
- 5140 Galaxie Dr Ste 105
Jackson, MS 39206-4354 - Phone
- (601) 300-3935
- NPI assigned
- Dec 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 901938 | MS | Primary |
Addresses
Primary practice location
5140 Galaxie Dr Ste 105
Jackson, MS 39206-4354
Mailing address
15 Jennifer CT
Madison, MS 39110-8898
Phone (769) 798-0729
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 901938 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Claiborne County Hospital | Current | Accepting new patients | |
| Claiborne County Hospital | Current | Accepting new patients | |
| Claiborne County Hospital | Single Specialty | Current | Accepting new patients |
| Claiborne County Hospital | Current | Accepting new patients | |
| Claib Cty HSP Pro Fees | Past | Accepting new patients | |
| Harmony House Calls LLC | Single Specialty | Past | Accepting new patients |
Locations
123 McComb Ave
Port Gibson, MS 39150
Phone (601) 437-5141
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Hospital Unit
- Port Gibson, MS
- NPI 1528319027
-
- Emergency Medical Services (Emergency Medicine) Physician
- Port Gibson, MS
- NPI 1710238324
Single Specialty
-
- Medicare Defined Swing Bed Hospital Unit
- Port Gibson, MS
- NPI 1740531359
-
- Critical Access Hospital
- Port Gibson, MS
- NPI 1497003610
-
- Emergency Medical Services (Emergency Medicine) Physician
- Port Gibson, MS
- NPI 1558480491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543622400000",
"number": "1477023596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 JENNIFER CT",
"city": "MADISON",
"state": "MS",
"postal_code": "391108898",
"telephone_number": "769-798-0729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5140 GALAXIE DR STE 105",
"city": "JACKSON",
"state": "MS",
"postal_code": "392064354",
"telephone_number": "601-300-3935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PILLERS",
"first_name": "LAVECHELLE",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-01",
"last_updated": "2018-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "901938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2018; 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.