Individual provider Active NPI

Lori Elizabeth Vidrine-Parks, M.D.

  • Internal Medicine Physician
  • Ville Platte, LA
National Provider Identifier
1619063591
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.018995 Issued in LA
Practice address
312 Court St
Ville Platte, LA 70586-5248
Phone
(337) 363-5525
Fax
(337) 363-1567
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.018995 LA Primary

Addresses

Primary practice location

312 Court St
Ville Platte, LA 70586-5248

Mailing address

174 Red Oak Rd
Ville Platte, LA 70586-1984
Phone (337) 506-2060

Other identifiers 1

IdentifierTypeStateIssuer
1397539MedicaidLA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070315000120 LA Practitioner - Internal Medicine 2860595618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in Shreveport, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

302 Dulles Dr
Lafayette, LA 70506-3008
Phone (337) 262-4109

312 Court St
Ville Platte, LA 70586-5248
Phone (337) 363-5525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.018995LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acadiana Area Human Services District CurrentSince Nov 15, 2013 Accepting new patients
Acadiana Area Human Services District Current Accepting new patients
Acadiana Area Human Services District CurrentSince Nov 15, 2013 Accepting new patients
Parks Hospital Medicine LLC Internal Medicine Past Accepting new patients
Dept. of Health & Hospitals Past Accepting new patients

Locations

302 Dulles Dr
Lafayette, LA 70506
Phone (337) 262-4100

312 Court St
Ville Platte, LA 70586
Phone (337) 262-1329

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/aahsd/r4/

Organizations & group practices 5

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1619063591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 RED OAK RD",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705861984",
            "telephone_number": "337-506-2060",
            "fax_number": "337-506-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 COURT ST",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705865248",
            "telephone_number": "337-363-5525",
            "fax_number": "337-363-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDRINE-PARKS",
        "first_name": "LORI",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.018995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1397539",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ville Platte, LA

Sources for this page

Verify at the official NPI Registry.