LALISA WADE FAMILY NURSE PRACTIT NPI 1710161385

NPI Information

  • NPI: 1710161385
  • Provider Name: LALISA WADE, FAMILY NURSE PRACTIT
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 307 CHISUM ST
    SICILY ISLAND, LA
    ZIP 71368
  • Phone: (318) 389-5727

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NPI Details

Lalisa Wade, FAMILY NURSE PRACTIT is a family nurse practitioner in Sicily Island, LA with 18 years of experience. Lalisa Wade, FAMILY NURSE PRACTIT NPI is 1710161385. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

307 CHISUM ST
SICILY ISLAND, LA
ZIP 71368-807
Phone: (318) 389-5727
Fax: (318) 389-9943

The NPI 1710161385 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Automated urinalysis test (HCPCS:81003)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)

The enumeration date for this NPI number is 12/19/2007 and was last updated on 1/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN101774LOUISIANANo
2363LF0000XNurse PractitionerFamilyAP05320LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11632671MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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