Active NPI
Tessie Lacroix Doughty, NP
- Pediatric Nurse Practitioner
- Alexandria, LA
National Provider Identifier
1497034565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN119064-AP06621
- Practice address
- 501 Medical Center Dr
Box 30140
Alexandria, LA 71301-8124 - Phone
- (318) 487-1358
- Fax
- (318) 487-9584
- NPI assigned
- Aug 8, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN119064-AP06621 | LA | Primary |
Addresses
Primary practice location
501 Medical Center Dr
Box 30140
Alexandria, LA 71301-8124
Mailing address
501 Medical Center Dr
Box 30140
Alexandria, LA 71301-8124
Phone (318) 487-1358
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN119064-AP06621 | LA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312761600000",
"number": "1497034565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 MEDICAL CENTER DR",
"address_2": "BOX 30140",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713018124",
"telephone_number": "318-487-1358",
"fax_number": "318-487-9584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 MEDICAL CENTER DR",
"address_2": "BOX 30140",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713018124",
"telephone_number": "318-487-1358",
"fax_number": "318-487-9584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGHTY",
"first_name": "TESSIE",
"middle_name": "LACROIX",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-08",
"last_updated": "2011-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "LA",
"license": "RN119064-AP06621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.