Active NPI
Miss Lou Family Health, Inc
- Family Nurse Practitioner
- Vidalia, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- MISS LOU FAMILY HEALTH, INC
- Practice address
- 1648 Carter St Ste 2
Vidalia, LA 71373-3111 - Phone
- (318) 414-2315
- Fax
- (318) 414-2286
- NPI assigned
- May 19, 2022
- Last updated
- Dec 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donnah B Barlow, NP
- Title
- Owner
- Phone
- (318) 414-2315
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | |||
| Family Nurse Practitioner | 363LF0000X | Primary | ||
| Gerontology Nurse Practitioner | 363LG0600X |
Addresses
Primary practice location
1648 Carter St Ste 2
Vidalia, LA 71373-3111
Mailing address
1648 Carter St Ste 2
Vidalia, LA 71373-3111
Phone (318) 414-2315
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245496579 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lnichols@missloufamilyhealth.com |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2267873 | Miss Lou Family Health | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
1648 Carter St
#2
Vidalia, LA 71373
Phone (318) 414-2315
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Sicily Island, LA
- NPI 1245496579
-
- Family Nurse Practitioner
- Vidalia, LA
- NPI 1134014939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670544000000",
"number": "1487391462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1648 CARTER ST STE 2",
"city": "VIDALIA",
"state": "LA",
"postal_code": "713733111",
"telephone_number": "318-414-2315",
"fax_number": "318-414-2286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1648 CARTER ST STE 2",
"city": "VIDALIA",
"state": "LA",
"postal_code": "713733111",
"telephone_number": "318-414-2315",
"fax_number": "318-414-2286"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISS LOU FAMILY HEALTH, INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-19",
"last_updated": "2022-12-09",
"certification_date": "2022-12-09",
"status": "A",
"authorized_official_last_name": "BARLOW",
"authorized_official_first_name": "DONNAH",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "318-414-2315",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245496579",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lnichols@missloufamilyhealth.com",
"affiliation": "N",
"address_1": "1648 Carter St Ste 2",
"city": "Vidalia",
"state": "LA",
"country_code": "US",
"postal_code": "713733111",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Vidalia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.