Individual provider Active NPI

Larrion Nicole Weatherspoon, FNP

  • Family Nurse Practitioner
  • Ponchatoula, LA
National Provider Identifier
1912735119
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
236446 Issued in LA
Practice address
1668 Highway 51
Ponchatoula, LA 70454-6375
Phone
(985) 401-4022
NPI assigned
Jul 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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 236446 LA Primary

Addresses

Primary practice location

1668 Highway 51
Ponchatoula, LA 70454-6375

Mailing address

1713 Birchwood CT
Marrero, LA 70072-6752
Phone (504) 452-2964

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
I20241223000067 LA Practitioner - Nurse Practitioner 6103353677 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Urgent Care, LLC CurrentSince Sep 22, 2024 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Sep 22, 2024 Accepting new patients

Locations

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

64410 Highway 41
Pearl River, LA 70452
Phone (985) 256-4712

Organizations & group practices 2

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": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1912735119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 BIRCHWOOD CT",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700726752",
            "telephone_number": "504-452-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1668 HIGHWAY 51",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704546375",
            "telephone_number": "985-401-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERSPOON",
        "first_name": "LARRION",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "236446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponchatoula, LA

Sources for this page

Verify at the official NPI Registry.