Individual provider Active NPI

Heather Renee Rachal, CPNP-AC/PC

  • Pediatric Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1023202207
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP05266 Issued in LA
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

Updated by the provider on Aug 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Pediatric Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2130064MedicaidLA

Other names 1

  • Heather Renee Slocum Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
AP05266LAMDCritical Care Pediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Sprouts Pediatrics, LLC CurrentSince Aug 28, 2022 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.

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.

Verify at the official NPI Registry.