Individual provider Active NPI

Lisa Thompson Videau, FNP

  • Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1821318825
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP06145 Issued in LA
Practice address
8144 Walnut Hill LN
Dallas, TX 75231-4388
Phone
(214) 785-2200
NPI assigned
Jun 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN0077394 LA
Family Nurse Practitioner 363LF0000X RN077394-AP06145 LA
Family Nurse Practitioner 363LF0000X APRN3399092 FL
Nurse Practitioner 363L00000X 6145 LA
Nurse Practitioner 363L00000X AP06145 LA Primary

Addresses

Primary practice location

8144 Walnut Hill LN
Dallas, TX 75231-4388

Mailing address

240 Raleigh Dr
Slidell, LA 70460-8805
Phone (504) 296-1620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20240530004320 MS Practitioner - Nurse Practitioner 0840472536 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN0077394LAMDCommunity Health Registered Nurse
6145LAMDNurse Practitioner
AP06145LAMDNurse Practitioner
APRN3399092FLMDFamily Nurse Practitioner
RN077394-AP06145LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
At Home Healthcare Providers Past Accepting new patients
Medical Specialists of New Orleans Past Accepting new patients
Nola Central City Clinic Family Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lisa.videau@ldhoph.directbygreenway.com

Organizations & group practices 4

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": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1821318825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 RALEIGH DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704608805",
            "telephone_number": "504-296-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8144 WALNUT HILL LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314388",
            "telephone_number": "214-785-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDEAU",
        "first_name": "LISA",
        "middle_name": "THOMPSON",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-02",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "LA",
            "license": "RN0077394",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN077394-AP06145",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN3399092",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "6145",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP06145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.