Active NPI
Lacie Robinson
- General Practice Physician
- New Orleans, LA
National Provider Identifier
1932983640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD204608
- Practice address
- 4701 S Carrollton Ave
New Orleans, LA 70119-6026 - Phone
- (504) 494-3895
- NPI assigned
- Aug 23, 2023
- Last updated
- Aug 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD204608 | LA | Primary |
Addresses
Primary practice location
4701 S Carrollton Ave
New Orleans, LA 70119-6026
Mailing address
6964 Catina St
New Orleans, LA 70124-2304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD204608 | LA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Urgent Care | Multi-Specialty | Current | Accepting new patients |
Locations
4701 S Carrollton Ave
New Orleans, LA 70119
Phone (504) 354-1045
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1932983640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6964 CATINA ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701242304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 S CARROLLTON AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701196026",
"telephone_number": "504-494-3895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "LACIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-23",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "LA",
"license": "MD204608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.