Lynnette Faith David, ARNP-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN111120 Issued in LA

Practice address

4242 Highway 19 Ste C
Zachary, LA 70791-3981

Phone

(225) 654-6140

Fax

(225) 654-6122

NPI assigned

Oct 28, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ldavid7662@direct.casso.us.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Our Lady of the Lake Physician Group LLC

  • Hematology & Oncology Physician
  • Baton Rouge, LA
  • NPI 1184671455

  Nurse Practitioner

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1730489469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18989 OLD SCENIC HWY",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707918105",
            "telephone_number": "225-654-6140",
            "fax_number": "225-654-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 HIGHWAY 19 STE C",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707913981",
            "telephone_number": "225-654-6140",
            "fax_number": "225-654-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "LYNNETTE",
        "middle_name": "FAITH",
        "name_prefix": "Mrs.",
        "credential": "ARNP-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-28",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN111120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2138278",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ldavid7662@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-EPIC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ldavid7662@direct.casso.us.com",
            "address_1": "4242 Highway 19 Ste C",
            "city": "Zachary",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707913981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epihosted.com/FHIRPoxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4242 Highway 19 Ste C",
            "city": "Zachary",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707913981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• CW Express Transportation LLC
• Victoria Cannon D'Aquin, PA-C
• Ross David Daray, M.D.
• Meredith Darnell
• Gabrielle Darville
• Johnathan P Davis
• Sasha Tarshan Davis
• Jeremy Dedeaux, FNP-C
• Christopher David Dedon, APRN
• Charlotte Rogers Delatorre, MS, CCC-SLP

• Family Nurse Practitioner in Zachary, LA
• Providers in Zachary, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.