Individual provider Active NPI

Latosha Babineaux Mackey, NP

  • Family Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1861038747
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209233 Issued in LA
Practice address
1960 Tybee LN
Lake Charles, LA 70605-4173
Phone
(337) 421-0090
NPI assigned
Nov 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 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 209233 LA Primary

Addresses

Primary practice location

1960 Tybee LN
Lake Charles, LA 70605-4173

Mailing address

1960 Tybee LN
Lake Charles, LA 70605-4173
Phone (337) 421-0090

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
I20200626000708 LA Practitioner - Nurse Practitioner 1355763970 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

1960 Tybee LN
Lake Charles, LA 70605-4173
Phone (337) 421-0090

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209233LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince May 21, 2020 Accepting new patients
Calcasieu Cameron Emergency Physician Group LLC CurrentSince Sep 17, 2022 Accepting new patients
Ochsner Clinic LLC CurrentSince May 21, 2020 Accepting new patients
Professional Emergency Medicine Management -- Lake Charles LLC CurrentSince May 1, 2022 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients

Locations

1960 Tybee Ln
Lake Charles, LA 70605
Phone (337) 421-0090

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

Interoperability endpoints

  • Direct secure messaging: lmackey912651@direct.ochsner.org

Organizations & group practices 5

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1861038747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 TYBEE LN",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054173",
            "telephone_number": "337-421-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 TYBEE LN",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054173",
            "telephone_number": "337-421-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "LATOSHA",
        "middle_name": "BABINEAUX",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "209233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.