Active NPI
Emily Willard, NP
- Family Nurse Practitioner
- Vidalia, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP08458
- Practice address
- 107 Front St Ste 2126
Vidalia, LA 71373-2835 - Phone
- (318) 414-9336
- Fax
- (318) 599-1178
- NPI assigned
- Aug 11, 2015
- Last updated
- Nov 4, 2025
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP08458 | LA | Primary |
Addresses
Primary practice location
107 Front St Ste 2126
Vidalia, LA 71373-2835
Mailing address
604 N Acadia Rd Ste 101
Thibodaux, LA 70301-4897
Phone (985) 446-5079
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2400959 | Medicaid | LA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
604 N Acadia Rd
Suite 101
Thibodaux, LA 70301-4897
Phone 9854465079110
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP08458 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Health Group, LLC | Current | Accepting new patients | |
| Louisiana Ear, Nose, & Throat Specialists, Inc. | Current | Accepting new patients | |
| Tensas Community Health Center Inc. | Current | Accepting new patients | |
| Tensas Community Health Center Inc | Current | Accepting new patients | |
| Affinity Health Group, LLC | Current | Accepting new patients | |
| ENT Doctors of Acadiana LLC | Past | Accepting new patients |
Locations
130 Desiard St
Ste 355
Monroe, LA 71201
Phone (318) 807-7875
2408 Broadmoor Blvd
Ste 2
Monroe, LA 71201
Phone (318) 807-0525
2516 Broadmoor Blvd
Monroe, LA 71201
Phone (318) 322-1161
1115 Levee Rd
Saint Joseph, LA 71366
Phone (318) 766-1967
604 N Acadia Rd
Ste 101
Thibodaux, LA 70301
Phone (985) 446-5079
107 Front St
Ste 2126
Vidalia, LA 71373
Phone (318) 336-2216
900 Carter St
Ste A
Vidalia, LA 71373
Phone (318) 336-4780
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CHHACD
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otolaryngology Physician
- Thibodaux, LA
- NPI 1083713101
-
- Family Medicine Physician
- Monroe, LA
- NPI 1023291226
-
- Clinic/Center
- Saint Joseph, LA
- NPI 1720054075
-
dba Affinity Orthopaedic Clinic
- Orthopaedic Surgery Physician
- Monroe, LA
- NPI 1861879249
-
dba Vidalia Community Health Center
- Federally Qualified Health Center (FQHC)
- Vidalia, LA
- NPI 1235600990
-
- Otolaryngology Physician
- Lafayette, LA
- NPI 1033974357
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Trinity Medical
- Critical Access Hospital
- Ferriday, LA
- NPI 1144227935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1588040703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 N ACADIA RD STE 101",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703014897",
"telephone_number": "985-446-5079",
"fax_number": "985-447-2497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 FRONT ST STE 2126",
"city": "VIDALIA",
"state": "LA",
"postal_code": "713732835",
"telephone_number": "318-414-9336",
"fax_number": "318-599-1178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLARD",
"first_name": "EMILY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-11",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP08458",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2400959",
"state": "LA"
}
],
"endpoints": [],
"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 Nov 4, 2025; 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.
- 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.