Individual provider Active NPI

Katrina Elaine Lloyd-Wims, MSN

  • Family Nurse Practitioner
  • Pineville, LA
National Provider Identifier
1811078066
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN084932 / AP03856 Issued in LA
Practice address
2809 Donahue Ferry Road
Pineville, LA 71360
Phone
(318) 641-0865
Fax
(318) 640-3290
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 RN084932 / AP03856 LA Primary

Addresses

Primary practice location

2809 Donahue Ferry Road
Pineville, LA 71360

Mailing address

302A Windermere Boulevard
Alexandria, LA 71303-3553
Phone (318) 448-6107

Other identifiers 2

IdentifierTypeStateIssuer
1109029MedicaidLA
AP03856OtherLAADVANCED PRACTICE RN LIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN084932 / AP03856LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DM Properties of Lafayette, LLC CurrentSince Apr 16, 2015 Accepting new patients
Natchitoches Parkway Imaging, LLC CurrentSince Apr 20, 2024 Accepting new patients
DM Properties of Lafayette, LLC CurrentSince Apr 16, 2015 Accepting new patients
Natchitoches Parkway Clinic, LLC CurrentSince Apr 20, 2024 Accepting new patients
Forester Lyme Treatment Center Past Accepting new patients
The Administrators of the Tulane Educational Fund Past Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients
Jonathan S. Forester, MD, Apmc Past Accepting new patients

Locations

3601 Jackson Street Ext
Alexandria, LA 71303
Phone (318) 787-6877

2705 Highway 28 E
Ste B
Pineville, LA 71360
Phone (318) 704-6770

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811078066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302A WINDERMERE BOULEVARD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033553",
            "telephone_number": "318-448-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 DONAHUE FERRY ROAD",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "71360",
            "telephone_number": "318-641-0865",
            "fax_number": "318-640-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLOYD-WIMS",
        "first_name": "KATRINA",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN084932 / AP03856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1109029",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE RN  LIC",
            "identifier": "AP03856",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, LA

Sources for this page

Verify at the official NPI Registry.