Individual provider Active NPI

Nicole Brooke Babin, APRN, ANP

  • Adult Health Nurse Practitioner
  • Pineville, LA
National Provider Identifier
1124394309
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP06097 Issued in LA
Practice address
50 Pinecrest Dr
Pineville, LA 71360-4283
Phone
(318) 640-9656
NPI assigned
Apr 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP06097 LA Primary

Addresses

Primary practice location

50 Pinecrest Dr
Pineville, LA 71360-4283

Mailing address

123 Saint Abigail LN
Woodworth, LA 71485-4703
Phone (318) 308-6555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131115000394 LA Practitioner - Nurse Practitioner 9537395868 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Feb 1, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Feb 1, 2024 Accepting new patients
SNF Wound Care CurrentSince Jan 15, 2025 Accepting new patients
Ark-la-Tex Cardiology, Apmc PastSince Oct 1, 2024 Accepting new patients

Locations

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

3311 Prescott Rd
Ste 112
Alexandria, LA 71301
Phone (318) 767-0960

3025 Fourth St
Jonesville, LA 71343
Phone (318) 339-4344

1453 E Bert Kouns Industrial Loop
Ste 112
Shreveport, LA 71105
Phone (318) 798-9400

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

Interoperability endpoints

  • Direct secure messaging: nicolebabin@fmcl-la.direct.office.nextgen.com

Organizations & group practices 4

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": "1333238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1124394309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SAINT ABIGAIL LN",
            "city": "WOODWORTH",
            "state": "LA",
            "postal_code": "714854703",
            "telephone_number": "318-308-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PINECREST DR",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604283",
            "telephone_number": "318-640-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABIN",
        "first_name": "NICOLE",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "APRN, ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-01",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "AP06097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, LA

Sources for this page

Verify at the official NPI Registry.