Individual provider Active NPI

Lacey Coco Lemoine, FNP-C

  • Family Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1730707837
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
214333 Issued in LA
Practice address
3311 Prescott Rd Ste 216
Alexandria, LA 71301-3983
Phone
(318) 443-0490
NPI assigned
Jul 6, 2020
Last updated
Jul 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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 214333 LA Primary

Addresses

Primary practice location

3311 Prescott Rd Ste 216
Alexandria, LA 71301-3983

Mailing address

68 Beauregard Rd
Alexandria, LA 71302-9412
Phone (318) 715-8572

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
I20201118001225 LA Practitioner - Nurse Practitioner 9436560786 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
214333LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Health Central Louisiana CurrentSince Aug 18, 2020 Accepting new patients
Christus Health Central Louisiana CurrentSince Aug 18, 2020 Accepting new patients
Neuromedical Clinic of Cenla,L.L.C. CurrentSince Jul 12, 2020 Accepting new patients

Locations

3311 Prescott Rd
Ste 216
Alexandria, LA 71301
Phone (318) 443-0490

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: llemoine407401@christushealth.direct-ci.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1730707837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 BEAUREGARD RD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713029412",
            "telephone_number": "318-715-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 PRESCOTT RD STE 216",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013983",
            "telephone_number": "318-443-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMOINE",
        "first_name": "LACEY",
        "middle_name": "COCO",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "214333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.