Individual provider Active NPI

Desiree Lewis

  • Family Nurse Practitioner
  • Church Point, LA
National Provider Identifier
1548133770
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201076 Issued in LA
Practice address
232 Murrell St
Church Point, LA 70525
Phone
(337) 684-1300
NPI assigned
Sep 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201076 LA Primary

Addresses

Primary practice location

232 Murrell St
Church Point, LA 70525

Mailing address

3843 Stagg Ave
Basile, LA 70515-5501

Other practice location 1

3843 Stagg Ave
Basile, LA 70515-5501
Phone (318) 668-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260203004335 LA Practitioner - Nurse Practitioner 6901384536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Church Point Primary Care LLCGroup PAC ID 8426288622, 2 clinicians

Practice addresses (Care Compare)

202 W Murrell St
Church Point, LA 70525-2950
Phone (337) 684-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
201076LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Church Point Primary Care, LLC CurrentSince Jan 1, 2026 Accepting new patients
Southern Family Medicine, LLC Family PastSince Jan 1, 2026 Accepting new patients

Locations

202 Murrell St
Church Point, LA 70525
Phone (337) 684-1300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20525/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1548133770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3843 STAGG AVE",
            "city": "BASILE",
            "state": "LA",
            "postal_code": "705155501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 MURRELL ST",
            "city": "CHURCH POINT",
            "state": "LA",
            "postal_code": "70525",
            "telephone_number": "337-684-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3843 Stagg Ave",
            "address_purpose": "LOCATION",
            "city": "Basile",
            "state": "LA",
            "postal_code": "705155501",
            "country_code": "US",
            "telephone_number": "318-668-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DESIREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-24",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "201076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Church Point, LA

Sources for this page

Verify at the official NPI Registry.