Individual provider Active NPI

Lisa Marie Pate, N.D.

  • Family Nurse Practitioner
  • Covington, LA
National Provider Identifier
1730407537
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209795 Issued in LA
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
209795LAMDFamily Nurse Practitioner
907167MSMDFamily 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.

Verify at the official NPI Registry.