Individual provider Active NPI

Lori A Netterville, NP-C

  • Adult Health Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1598030009
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP06804 Issued in LA
Practice address
7777 Hennessy Blvd
Suite 210
Baton Rouge, LA 70808-4300
Phone
(225) 765-7163
NPI assigned
Mar 16, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abbeville Emergency Group LLC 18 clinicians
Lafayette Health Ventures Inc 299 clinicians
St Martin Emergency Group LLC 20 clinicians

Practice addresses (Care Compare)

118 N Hospital Dr
Abbeville, LA 70510-4039
Phone (337) 893-5466

1216 Camellia Blvd
Lafayette, LA 70508-6667
Phone (337) 769-0069

210 Champagne Blvd
Breaux Bridge, LA 70517-3700
Phone (337) 332-2178

Hospital & facility affiliations

  • Ochsner St Martin Hospital Hospital, Breaux Bridge, LA, CCN 191302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, SC2 enrollments
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.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20120502000626 LA Practitioner - Nurse Practitioner 8224290507 Reassigns benefits to 7 organizations
I20190412000819 SC Practitioner - Nurse Practitioner 8224290507

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abbeville Emergency Group LLC Nurse Practitioner CurrentSince Jul 12, 2021 Accepting new patients
St Martin Emergency Group LLC Nurse Practitioner CurrentSince Sep 22, 2021 Accepting new patients
Ambassador Emergency Group LLC Nurse Practitioner CurrentSince Aug 5, 2017 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Jan 1, 2017 Accepting new patients
Main Street Emergency Group LLC Nurse Practitioner CurrentSince Dec 1, 2014 Accepting new patients
Coolidge Emergency Group LLC Nurse Practitioner CurrentSince Dec 1, 2012 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Jan 1, 2017 Accepting new patients
Lafayette Health Ventures, Inc Past Accepting new patients

Locations

118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

2810 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 593-5423

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

1110 E Saint Peter St
New Iberia, LA 70560
Phone (337) 364-1166

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

1902 Highway 165 S
Oakdale, LA 71463
Phone (318) 215-7806

Interoperability endpoints

  • Direct secure messaging: lnetterville1455429@direct.ochsner.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP06804 LA Primary

Addresses

NPPES NPI Registry

Primary practice location

7777 Hennessy Blvd
Suite 210
Baton Rouge, LA 70808-4300

Mailing address

101 Asbury Cir
Lafayette, LA 70503-3632
Phone (225) 663-0166

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
2194399MedicaidLA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 28, 2012.

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1598030009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ASBURY CIR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033632",
            "telephone_number": "225-663-0166",
            "fax_number": "337-983-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "SUITE 210",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-765-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETTERVILLE",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-16",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "AP06804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2194399",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.