Lisa O Ashton, APRN-FNP

Individual provider Active NPI Family Nurse Practitioner · Covington, LA

NPI 1679538102 · NPPES record last updated Apr 2, 2014

Key facts

NPI
1679538102
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
AP03513 (LA)
Practice address
606 W 12TH Ave
Covington, LA 70433-3358
Phone
(985) 892-2252
Fax
(985) 893-6636
NPI assigned
Apr 18, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP03513LAMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP03513 LA Yes

Addresses

Primary practice location

606 W 12TH Ave
Covington, LA 70433-3358

Mailing address

217 Cherokee Rose Lane
Covington, LA 70433
Phone (985) 893-0911

Other identifiers

IdentifierTypeStateIssuer
1432351MedicaidLA

Other providers in Covington, LA

All providers in Covington, LA · Family Nurse Practitioner in Louisiana

Sources for this page

Verify at the official NPI Registry.