NICOLE LASSITER MD
NPI 1417536681
General Practice in Belle Chasse, LA

Active since April 05, 2021PECOS Enrolled
400 RUSSELL AVE BLDG 41, BELLE CHASSE, LA 70037(504) 678-8234 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 4, 2025, Feb 14, 2023, Apr 12, 2021 and 1 more (4 updates tracked since 2021).

About Nicole Lassiter Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE LASSITER MD (NPI 1417536681) is an individual general practice provider in Belle Chasse, Louisiana, licensed in Alabama (MD.45391) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417536681
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameNICOLE LASSITERCredential: MD
Location Address400 RUSSELL AVE BLDG 41Belle Chasse, LA 70037-1006
Mailing Address105 Cypress Park LnBelle Chasse, LA 70037-1698 · (205) 886-4953
Sole ProprietorYes
Enumeration DateApril 5, 2021
Last NPPES UpdateFebruary 4, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
NPI 1417536681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in AL · MD.45391
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

400 RUSSELL AVE BLDG 41, Belle Chasse, LA 70037

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nicole Lassiter Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
400 RUSSELL AVE BLDG 41
BELLE CHASSE, LA 70037
Optometrist
400 RUSSELL AVE BLDG 41
BELLE CHASSE, LA 70037
Physician Assistant
400 RUSSELL AVE BLDG 41
BELLE CHASSE, LA 70037
Family Medicine
400 RUSSELL AVE BLDG 41
BELLE CHASSE, LA 70037
Behavior Technician
400 RUSSELL AVE BLDG 41
BELLE CHASSE, LA 70037
Physical Therapy Assistant
400 RUSSELL AVE BLDG 41
BELLE CHASSE, LA 70037
Dental Hygienist
400 RUSSELL AVE BLDG 41
BELLE CHASSE, LA 70037

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Lassiter's NPI number?

The NPI number for Nicole Lassiter is 1417536681. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Nicole Lassiter located?

Nicole Lassiter practices at 400 Russell Ave Bldg 41, Belle Chasse, LA 70037. The listed phone number is (504) 678-8234.

What is Nicole Lassiter's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Nicole Lassiter enrolled in Medicare?

Yes. Nicole Lassiter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Lassiter was last updated on February 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.