Lisa Oubre, DPM

Individual provider Active NPI Podiatrist · Franklin, LA

NPI 1972793669 · NPPES record last updated Jun 20, 2022

Key facts

NPI
1972793669
Entity type
Individual (NPI type 1)
Primary specialty
Podiatrist 213E00000X
License
PD116R (LA)
Practice address
1115 Weber St
Franklin, LA 70538-4124
Phone
(337) 828-2550
Fax
(337) 355-2335
NPI assigned
Jul 28, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 12

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.

Medicare Care Compare profile

Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Teche Action Board Inc (27 clinicians)

Practice addresses (Care Compare)

1124 7TH St
Morgan City, LA 70380-1951
Phone (985) 384-2371

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue27

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20091104000053 LA Practitioner - Podiatry 3072651520 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PD116RLAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Teche Action Board, Inc. Current
since Nov 4, 2022
Accepting new patients
Teche Action Board Inc Current Accepting new patients
Teche Action Board, Inc. Past Accepting new patients
Teche Action Board, Inc. Past Accepting new patients
Teche Action Board, Inc. Past Accepting new patients
Teche Action Board Inc Past Accepting new patients
Teche Action Board, Inc. Past Accepting new patients

Locations

18333 Highway 182
Rm 505
Baldwin, LA 70514
Phone (337) 924-9418

2555 Highway 18
Edgard, LA 70049
Phone (337) 828-2550

159 E 3rd St
Edgard, LA 70049
Phone (985) 497-8726

1115 Weber St
Franklin, LA 70538
Phone (337) 828-2550

827 N Pine St
Gramercy, LA 70052
Phone (225) 258-9490

189 Mozart Dr
Houma, LA 70363
Phone (985) 868-3700

1014 W Tunnel Blvd
Houma, LA 70360
Phone (985) 851-1717

5642 W Main St
Houma, LA 70360
Phone (985) 448-3737

393 Greenwood Dr
La Place, LA 70068
Phone (985) 359-6492

1124 7th St
Morgan City, LA 70380
Phone (985) 384-2371

3528 Highway 70 S
Pierre Part, LA 70339
Phone (985) 252-6211

1709 Ridgefield Rd
Thibodaux, LA 70301
Phone (985) 446-7341

22187 Highway 20
Vacherie, LA 70090
Phone (225) 258-4980

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PD116R LA Yes

Addresses

Primary practice location

1115 Weber St
Franklin, LA 70538-4124

Mailing address

1115 Weber St
Franklin, LA 70538-4124
Phone (337) 828-2550

Other identifiers

IdentifierTypeStateIssuer
1919551MedicaidLA
5S596OtherMEDICARE
B7022OtherBLUE CROSS BLUE SHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 20, 2022.

{
    "created_epoch": "1185580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1972793669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 WEBER ST",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705384124",
            "telephone_number": "337-828-2550",
            "fax_number": "337-355-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 WEBER ST",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705384124",
            "telephone_number": "337-828-2550",
            "fax_number": "337-355-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUBRE",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-28",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "PD116R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1919551",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "5S596",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "B7022",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, LA

All providers in Franklin, LA · Podiatrist in Louisiana

Sources for this page

Verify at the official NPI Registry.