Individual provider Active NPI

David Vizinat, APRN FNP-C

  • Family Nurse Practitioner
  • Longville, LA
National Provider Identifier
1730455825
Registry record updated Apr 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08501 Issued in LA
Practice address
12186 Highway 171
Longville, LA 70652-4625
Phone
(770) 842-0901
NPI assigned
Mar 22, 2012
Last updated
Apr 2, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2017

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 AP08501 LA Primary

Addresses

Primary practice location

12186 Highway 171
Longville, LA 70652-4625

Mailing address

184 Kathy Dr
Ragley, LA 70657-6613
Phone (770) 842-0901

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
I20160105001305 LA Practitioner - Nurse Practitioner 4789848375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beauregard Medical Group LLCGroup PAC ID 8729356456, 2 clinicians

Practice addresses (Care Compare)

12186 Hwy 171
Longville, LA 70652-4625
Phone (337) 405-7778

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP08501LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beauregard Medical Group LLC Family CurrentSince Nov 12, 2016 Accepting new patients
South Beauregard Health Center, L.L.C. Past Accepting new patients

Locations

12186 Highway 171
Longville, LA 70652
Phone (337) 405-7778

Organizations & group practices 2

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 7

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": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491091200000",
    "number": "1730455825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 KATHY DR",
            "city": "RAGLEY",
            "state": "LA",
            "postal_code": "706576613",
            "telephone_number": "770-842-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12186 HIGHWAY 171",
            "city": "LONGVILLE",
            "state": "LA",
            "postal_code": "706524625",
            "telephone_number": "770-842-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIZINAT",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "APRN FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-22",
        "last_updated": "2017-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longville, LA

Sources for this page

Verify at the official NPI Registry.