Individual provider Active NPI

Lindsey Oliver Misita, FNP-C

  • Family Nurse Practitioner
  • Amite, LA
National Provider Identifier
1659049302
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
221568 Issued in LA
Practice address
409 NW Central Ave
Amite, LA 70422
Phone
(985) 748-7141
Fax
(985) 748-3181
NPI assigned
Aug 30, 2021
Last updated
Sep 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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 221568 LA Primary

Addresses

Primary practice location

409 NW Central Ave
Amite, LA 70422

Mailing address

301 Walnut St.
Amite, LA 70422
Phone (985) 284-2400

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
I20211022000117 LA Practitioner - Nurse Practitioner 6709274814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

301 Walnut St
Amite, LA 70422-2025
Phone (985) 748-9485

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
221568LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District 2 of the Parish of Tangipahoa State of la. CurrentSince Aug 3, 2021 Accepting new patients
Hospital Service District 2 of the Parish of Tangipahoa State of la. Family CurrentSince Aug 3, 2021 Accepting new patients
Strawberry Patch Pediatrics LLC Family PastSince Dec 13, 2020 Accepting new patients

Locations

301 Walnut St
Amite, LA 70422
Phone (985) 748-7141

409 NW Central Ave
Amite, LA 70422
Phone (985) 748-7141

903 W Oak St
Amite, LA 70422
Phone (833) 901-1504

Interoperability endpoints

  • Direct secure messaging: lindsey.misita.1@17916.direct.athenahealth.com

Organizations & group practices 3

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 4

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": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1659049302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 WALNUT ST.",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "70422",
            "telephone_number": "985-284-2400",
            "fax_number": "985-748-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 NW CENTRAL AVE",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "70422",
            "telephone_number": "985-748-7141",
            "fax_number": "985-748-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISITA",
        "first_name": "LINDSEY",
        "middle_name": "OLIVER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "221568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amite, LA

Sources for this page

Verify at the official NPI Registry.