Individual provider Active NPI

Lisa B Devenport, MD

  • Emergency Medicine Physician
  • Kenner, LA
National Provider Identifier
1912944364
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
023065 Issued in LA
Practice address
180 W Esplanade Ave
Kenner, LA 70065-2467
Phone
(800) 893-9698
NPI assigned
Jun 1, 2006
Last updated
Mar 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 023065 LA Primary

Addresses

Primary practice location

180 W Esplanade Ave
Kenner, LA 70065-2467

Mailing address

24 Monte Carlo Dr
Kenner, LA 70065-2029

Other identifiers 1

IdentifierTypeStateIssuer
1490911MedicaidLA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040807000076 LA Practitioner - Emergency Medicine 0547232910 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luling Emergency Group LLCGroup PAC ID 8325352636, 21 clinicians
St. John Emergency Group LLCGroup PAC ID 4082641303, 19 clinicians

Practice addresses (Care Compare)

1057 Paul Maillard Rd
Luling, LA 70070-4349
Phone (985) 785-6242

1900 W Airline Hwy
La Place, LA 70068-3338
Phone (985) 652-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
023065LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Aug 1, 2017 Accepting new patients
Kenner Emergency Group LLC Emergency Medicine CurrentSince Apr 4, 2006 Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 1, 2017 Accepting new patients
St. John Emergency Group LLC Emergency Medicine CurrentSince Jul 26, 2017 Accepting new patients
Luling Emergency Group LLC Emergency Medicine CurrentSince Apr 20, 2019 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Belle Chasse Emergency Group LLC Emergency Medicine CurrentSince Aug 25, 2018 Accepting new patients
Houma Emergency Medicine Associates LLC Emergency Medicine Past Accepting new patients
Michael E Isabelle MD Apmc Emergency Medicine Past Accepting new patients
Mercy Emergency Group, LLC Emergency Medicine Past Accepting new patients
Louisiana Em-1 Medical Services, a Medical Corporation Emergency Medicine Past Accepting new patients

Locations

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

1900 W Airline Hwy
La Place, LA 70068
Phone (985) 652-7000

200 Corporate Blvd
Ste 201
Lafayette, LA 70508

1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3740

4837 Lapalco Blvd
Marrero, LA 70072
Phone (504) 703-3250

1514 Jefferson Hwy
New Orleans, LA 70121

2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650

4100 Canal St
New Orleans, LA 70119
Phone (504) 703-2750

2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157

Interoperability endpoints

  • Direct secure messaging: ldevenport25778@direct.ochsner.org

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1912944364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MONTE CARLO DR",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W ESPLANADE AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652467",
            "telephone_number": "800-893-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVENPORT",
        "first_name": "LISA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "023065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1490911",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

Verify at the official NPI Registry.