NPIMap

Individual provider Active NPI

Tracie Givens, NP-C

  • Family Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1033459193
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07207 Issued in LA
Practice address
3704 North Blvd Ste D
Alexandria, LA 71301-3658
Phone
(318) 528-3200
Fax
(318) 528-3201
NPI assigned
Feb 26, 2013
Last updated
Jun 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP07207 LA Primary

Addresses

Primary practice location

3704 North Blvd Ste D
Alexandria, LA 71301-3658

Mailing address

919 Hidden RDG
6TH Floor
Irving, TX 75038-3813
Phone (469) 282-2711

Other identifiers 1

IdentifierTypeStateIssuer
2335791MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130802000261 LA Practitioner - Nurse Practitioner 6103067145 Reassigns benefits to 3 organizations
Practice locations: Alexandria, LA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Cenla Occupational Medicine ServicesGroup PAC ID 0143460055, 3 clinicians

Practice addresses (Care Compare)

3221 Military Hwy
Pineville, LA 71360-4226
Phone (318) 787-0610

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP07207LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cenla Occupational Medicine Services Family CurrentSince Mar 1, 2020 Accepting new patients
C H Wilkinson Physician Network Nurse Practitioner CurrentSince Jun 15, 2015 Accepting new patients
DM Properties of Lafayette, LLC CurrentSince Feb 15, 2018 Accepting new patients
DM Properties of Lafayette, LLC CurrentSince Feb 15, 2018 Accepting new patients
C H Wilkinson Physician Network CurrentSince Jun 15, 2015 Accepting new patients

Locations

3601 Jackson Street Ext
Alexandria, LA 71303
Phone (318) 787-6877

2705 Highway 28 E
Pineville, LA 71360
Phone (318) 704-6770

3221 Military Hwy
Pineville, LA 71360
Phone (318) 613-7101

1 Saint Mary Pl
Shreveport, LA 71101
Phone (318) 681-4500

919 Hidden Rdg
Fl 6
Irving, TX 75038
Phone (469) 282-2711

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1033459193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 HIDDEN RDG",
            "address_2": "6TH FLOOR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383813",
            "telephone_number": "469-282-2711",
            "fax_number": "469-282-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 NORTH BLVD STE D",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013658",
            "telephone_number": "318-528-3200",
            "fax_number": "318-528-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIVENS",
        "first_name": "TRACIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-26",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2335791",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.