Active NPI
Lisa Marie Pate, N.D.
- Family Nurse Practitioner
- Covington, LA
National Provider Identifier
1730407537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209795
- Practice address
- 109 Innwood Dr Ste B
Covington, LA 70433-9126 - Phone
- (985) 893-9019
- Fax
- (985) 893-9991
- NPI assigned
- May 4, 2010
- Last updated
- Nov 19, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209795 | LA | Primary |
| Family Nurse Practitioner | 363LF0000X | 907167 | MS |
Addresses
Primary practice location
109 Innwood Dr Ste B
Covington, LA 70433-9126
Mailing address
109 Innwood Dr Ste B
Covington, LA 70433-9126
Phone (985) 893-9019
Other practice location 1
159C Willowbrook Dr
Saltillo, MS 38866-6896
Phone (985) 893-9019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209795 | LA | MD | Family Nurse Practitioner |
| 907167 | MS | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763510400000",
"number": "1730407537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 INNWOOD DR STE B",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704339126",
"telephone_number": "985-893-9019",
"fax_number": "985-893-9991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 INNWOOD DR STE B",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704339126",
"telephone_number": "985-893-9019",
"fax_number": "985-893-9991"
}
],
"practiceLocations": [
{
"address_1": "159C Willowbrook Dr",
"address_purpose": "LOCATION",
"city": "Saltillo",
"state": "MS",
"postal_code": "388666896",
"country_code": "US",
"telephone_number": "985-893-9019",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATE",
"first_name": "LISA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-04",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "209795",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "907167",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.