Active NPI
Heather Renee Rachal, CPNP-AC/PC
- Pediatric Nurse Practitioner
- Alexandria, LA
National Provider Identifier
1023202207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP05266
- Practice address
- 1268 Southampton Dr
Alexandria, LA 71303-3036 - Phone
- (318) 777-6887
- Fax
- (318) 545-5226
- NPI assigned
- Aug 30, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Pediatric Nurse Practitioner | 363LP0222X | AP05266 | LA | |
| Pediatric Nurse Practitioner | 363LP0200X | AP05266 | LA | Primary |
Addresses
Primary practice location
1268 Southampton Dr
Alexandria, LA 71303-3036
Mailing address
5719 Mildred Ave
Alexandria, LA 71301-2827
Phone (318) 487-0606
Other practice location 1
501 Medical Center Dr
Alexandria, LA 71301-8124
Phone (318) 449-7330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2130064 | Medicaid | LA |
Other names 1
- Heather Renee Slocum
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | southernsproutspedi@gmail.com | Health Information Exchange (HIE) |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP05266 | LA | MD | Critical Care Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Sprouts Pediatrics, LLC | Current | Accepting new patients |
Locations
217 Brevard Ct
Ste D
Alexandria, LA 71303
Phone (318) 777-6887
1268 Southampton Dr
Alexandria, LA 71303
Phone (318) 448-0851
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Alexandria, LA
- NPI 1730808866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1023202207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5719 MILDRED AVE",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713012827",
"telephone_number": "318-487-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1268 SOUTHAMPTON DR",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713033036",
"telephone_number": "318-777-6887",
"fax_number": "318-545-5226"
}
],
"practiceLocations": [
{
"address_1": "501 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "LA",
"postal_code": "713018124",
"country_code": "US",
"telephone_number": "318-449-7330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RACHAL",
"first_name": "HEATHER",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "CPNP-AC/PC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-30",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0222X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics, Critical Care",
"state": "LA",
"license": "AP05266",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "LA",
"license": "AP05266",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2130064",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "southernsproutspedi@gmail.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "217 Brevard Ct Ste D",
"city": "Alexandria",
"state": "LA",
"country_code": "US",
"postal_code": "713033997",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "SLOCUM",
"middle_name": "RENEE",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.