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
Last updated
Jun 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Specialties & licenses 1

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

Addresses

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

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.

Enrollment records 2

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

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 LLCGroup PAC ID 3375731185, 18 clinicians
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians
St Martin Emergency Group LLCGroup PAC ID 0840444683, 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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP06804LAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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
St Martin Emergency Group LLC Nurse Practitioner CurrentSince Sep 22, 2021 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
Abbeville Emergency Group LLC Nurse Practitioner CurrentSince Jul 12, 2021 Accepting new patients
Coolidge Emergency Group LLC Nurse Practitioner CurrentSince Dec 1, 2012 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

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

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.