Stefanie McCollum, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP07258 Issued in LA

Practice address

302 Doug Dr
Lafayette, LA 70508-6300

Phone

(337) 456-6808

NPI assigned

Apr 30, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Louisiana Department of Health - Office of Public HealthGroup PAC ID 5890700694, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stefanie.mccollum@ldhoph.directbygreenway.com

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.

• Louisiana Department of Health - Office of Public Health

  • Public Health or Welfare Agency
  • New Orleans, LA
  • NPI 1144372343
  Medicare reassignment Care Compare group NPD
• Louisiana Department of Health - Office of Public Health

  • Public Health or Welfare Agency
  • Baton Rouge, LA
  • NPI 1396316212
  NPD

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1922443282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 DOUG DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086300",
            "telephone_number": "337-456-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 DOUG DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086300",
            "telephone_number": "337-456-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLUM",
        "first_name": "STEFANIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-30",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth E McCarron, MD
• Jessica Lynn McCarthy, FNP
• Joseph Dennis McCarty, L.C.S.W.-B.A.C.S.
• Laina Gloria McCarty
• Meagan Chatelain McClure, AU.D.
• Alisa Renae McCollums, B.S
• Caroline Waguespack-Labiche McConnell, LOTR
• Hiram A. McConnell, DDS
• Raquel Antoinette McCorvey, FNP
• McCoy Psychiatry LLC

• Family Nurse Practitioner in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.