Individual provider Active NPI

Lacey N Morris, APRN, FNP

  • Family Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1619063161
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APO04964 Issued in LA
Practice address
4864 Jackson Street
Department of Family Medicine
Monroe, LA 71202-0000
Phone
(318) 330-7650
Fax
(318) 330-7648
NPI assigned
Oct 4, 2006
Last updated
Aug 10, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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 APO04964 LA Primary

Addresses

Primary practice location

4864 Jackson Street
Department of Family Medicine
Monroe, LA 71202-0000

Mailing address

4864 Jackson Street
Department of Family Medicine
Monroe, LA 71202-0000
Phone (318) 330-7650

Other identifiers 1

IdentifierTypeStateIssuer
1584941MedicaidLA

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
I20061115000162 LA Practitioner - Nurse Practitioner 6406854033 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4800 S Grand St
Monroe, LA 71202-6412
Phone (318) 362-3339

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APO04964LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lsu Health Sciences Center Shreveport Faculty Group Practice CurrentSince Jul 1, 2021 Accepting new patients
Northeast Delta Human Services Authority Current Accepting new patients
Northeast Delta Human Services Authority Family CurrentSince Feb 3, 2025 Accepting new patients
Brfhh Monroe LLC CurrentSince Jan 1, 2015 Accepting new patients
Northeast Delta Human Services Authority Family CurrentSince Feb 3, 2025 Accepting new patients
Brfhh Monroe LLC CurrentSince Jan 1, 2015 Accepting new patients

Locations

5159 Highway 4 E
Columbia, LA 71418
Phone (318) 649-2333

2513 Ferrand St
Monroe, LA 71201
Phone (318) 362-3270

4800 S Grand St
Monroe, LA 71202
Phone (318) 362-3339

4864 Jackson St
Monroe, LA 71202
Phone (318) 330-7000

901 White St
Ruston, LA 71270
Phone (318) 251-4125

1501 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0434

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1619063161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4864 JACKSON STREET",
            "address_2": "DEPARTMENT OF FAMILY MEDICINE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712020000",
            "telephone_number": "318-330-7650",
            "fax_number": "318-330-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4864 JACKSON STREET",
            "address_2": "DEPARTMENT OF FAMILY MEDICINE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712020000",
            "telephone_number": "318-330-7650",
            "fax_number": "318-330-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "LACEY",
        "middle_name": "N",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "APO04964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1584941",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.