Active NPI
Nantawadee Lee
- Acute Care Nurse Practitioner
- Lacombe, LA
National Provider Identifier
1730425943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 363LA2100X
- Practice address
- 64030 Highway 434
Lacombe, LA 70445-3456 - Phone
- (985) 690-7500
- NPI assigned
- Dec 14, 2012
- Last updated
- Dec 14, 2012
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 363LA2100X | LA | Primary |
| Registered Nurse | 163W00000X | 163W00000X | LA |
Addresses
Primary practice location
64030 Highway 434
Lacombe, LA 70445-3456
Mailing address
64030 Hwy 434
Lacombe, LA 70445
Phone (985) 690-5900
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 363LA2100X | LA | MD | Acute Care Nurse Practitioner |
| 163W00000X | LA | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- nlee606943@direct.ochsner.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355443200000",
"number": "1730425943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64030 HWY 434",
"city": "LACOMBE",
"state": "LA",
"postal_code": "70445",
"telephone_number": "985-690-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64030 HIGHWAY 434",
"city": "LACOMBE",
"state": "LA",
"postal_code": "704453456",
"telephone_number": "985-690-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "NANTAWADEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-14",
"last_updated": "2012-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "LA",
"license": "363LA2100X",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "LA",
"license": "163W00000X",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lacombe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.