Individual provider Active NPI

Lee Talmage Proctor, NP-C

  • Family Nurse Practitioner
  • Gretna, LA
National Provider Identifier
1649721861
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09018 Issued in LA
Practice address
2500 Belle Chasse Hwy
Gretna, LA 70056
Phone
(504) 391-5454
NPI assigned
Oct 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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 AP09018 LA Primary

Addresses

Primary practice location

2500 Belle Chasse Hwy
Gretna, LA 70056

Mailing address

2500 Belle Chasse Hwy
Gretna, LA 70056
Phone (504) 391-5454

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
I20170304000078 LA Practitioner - Nurse Practitioner 6608150958 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP09018LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Belle Chasse Emergency Group LLC CurrentSince Feb 27, 2017 Accepting new patients
Ochsner Clinic LLC CurrentSince Jan 23, 2017 Accepting new patients
Parish State Emergency Physicians LLC CurrentSince Dec 1, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince Jan 23, 2017 Accepting new patients
Kenner Emergency Group LLC CurrentSince Jul 20, 2020 Accepting new patients

Locations

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

4837 Lapalco Blvd
Marrero, LA 70072
Phone (504) 703-3250

600 N Lewis St
New Iberia, LA 70563
Phone (337) 365-7311

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

1514 Jefferson Hwy
New Orleans, LA 70121

2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157

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, 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": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1649721861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 BELLE CHASSE HWY",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "70056",
            "telephone_number": "504-391-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BELLE CHASSE HWY",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "70056",
            "telephone_number": "504-391-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "LEE",
        "middle_name": "TALMAGE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

Verify at the official NPI Registry.