Organization Active NPI

Miss Lou Family Health, Inc

  • Family Nurse Practitioner
  • Vidalia, LA
National Provider Identifier
1487391462
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Authorized official

Name
Donnah B Barlow, NPNPI 1245496579
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1245496579MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lnichols@missloufamilyhealth.com

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2267873Miss Lou Family Health1648 Carter Street, Suite 2, Vidalia, LA 71373Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.