Individual provider Active NPI

Macy Nicole Soileau, FNP

  • Family Nurse Practitioner
  • Ville Platte, LA
National Provider Identifier
1629818158
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
235498 Issued in LA
Practice address
420 Jack Miller Rd
Ville Platte, LA 70586-5651
Phone
(337) 363-5334
Fax
(337) 363-2624
NPI assigned
May 31, 2024
Last updated
Nov 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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 235498 LA Primary

Addresses

Primary practice location

420 Jack Miller Rd
Ville Platte, LA 70586-5651

Mailing address

153 Jean Pierre Rd
Ville Platte, LA 70586-6066
Phone (337) 831-0241

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
I20240610000670 LA Practitioner - Nurse Practitioner 8820530579 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
235498LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Family Practitioners LLC CurrentSince Feb 27, 2025 Accepting new patients

Locations

420 Jack Miller Rd
Ville Platte, LA 70586
Phone (337) 363-5334

Interoperability endpoints

  • Direct secure messaging: macy.soileau.1@10412.direct.athenahealth.com

Organizations & group practices 1

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": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1629818158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 JEAN PIERRE RD",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705866066",
            "telephone_number": "337-831-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 JACK MILLER RD",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705865651",
            "telephone_number": "337-363-5334",
            "fax_number": "337-363-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOILEAU",
        "first_name": "MACY",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "235498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ville Platte, LA

Sources for this page

Verify at the official NPI Registry.