NPIMap

Individual provider Active NPI

Louise Lamarre, M.D.

  • Family Medicine Physician
  • Desoto, TX
National Provider Identifier
1760595011
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G6995 Issued in TX
Practice address
2617 Bolton Boone Dr
Suite B
Desoto, TX 75115-2074
Phone
(972) 709-1781
Fax
(972) 709-1782
NPI assigned
Aug 17, 2006
Last updated
Jun 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G6995 TX Primary
Adult Medicine Physician 207QA0505X G6955 TX
Sports Medicine (Family Medicine) Physician 207QS0010X G6955 TX
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X G6955 TX
General Practice Physician 208D00000X G6955 TX

Addresses

Primary practice location

2617 Bolton Boone Dr
Suite B
Desoto, TX 75115-2074

Mailing address

2617 Bolton Boone Dr
Suite B
Desoto, TX 75115-2074
Phone (972) 709-1781

Other identifiers 1

IdentifierTypeStateIssuer
139969323MedicaidTX

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G6995TXMDFamily Medicine Physician
G6955TXMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medcare House Calls LLC Past Accepting new patients
Medistat Group Associates, Inc. Adult Medicine Past Accepting new patients
Vital Housecall Group Inc. General Practice PastSince Jul 10, 2011 Accepting new patients

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1760595011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 BOLTON BOONE DR",
            "address_2": "SUITE B",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152074",
            "telephone_number": "972-709-1781",
            "fax_number": "972-709-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 BOLTON BOONE DR",
            "address_2": "SUITE B",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152074",
            "telephone_number": "972-709-1781",
            "fax_number": "972-709-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMARRE",
        "first_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G6995",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "G6955",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "G6955",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "G6955",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "G6955",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139969323",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.