Individual provider Active NPI

Rachel Branton

  • Pediatric Nurse Practitioner
  • Bossier City, LA
National Provider Identifier
1124482120
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
08648 Issued in LA
Practice address
2400 Hospital Dr
Ste. 120
Bossier City, LA 71111-2385
Phone
(318) 742-6710
NPI assigned
Apr 6, 2016
Last updated
Apr 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 08648 LA Primary

Addresses

Primary practice location

2400 Hospital Dr
Ste. 120
Bossier City, LA 71111-2385

Mailing address

2400 Hospital Dr
Ste. 120
Bossier City, LA 71111-2385
Phone (318) 742-6710

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
I20230717003290 LA Practitioner - Nurse Practitioner 5395105795 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
08648LAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
David Raines Community Health Center, Inc CurrentSince Jul 17, 2023 Accepting new patients
David Raines Community Health Center, Inc CurrentSince Jul 17, 2023 Accepting new patients
Ark-la-Tex Childrens Clinic LLC Past Accepting new patients

Locations

1514 Doctors Dr
Bossier City, LA 71111
Phone (318) 549-2500

2401 Old Minden Rd
Bossier City, LA 71112
Phone (318) 723-7242

777 Bearkat Dr
Bossier City, LA 71111
Phone (318) 723-7242

12763 Lay St
Gilliam, LA 71029
Phone 31822733503170

1953 Main St
Haynesville, LA 71038
Phone (318) 624-1995

12201 Mansfield Rd
Keithville, LA 71047
Phone (318) 364-2742

128 Homer Rd
Minden, LA 71055
Phone (318) 227-3350

1625 David Raines Rd
Shreveport, LA 71107
Phone (318) 425-2252

3021 W 70th St
Shreveport, LA 71108
Phone (318) 227-3350

3041 Dr Martin Luther King Dr
Shreveport, LA 71107
Phone (318) 227-3350

3222 Greenwood Rd
Shreveport, LA 71109
Phone (318) 364-5170

351 Hearne Ave
Shreveport, LA 71103
Phone (318) 425-8742

401 W 70th St
Shreveport, LA 71106
Phone (318) 227-3350

4331 Henry St
Shreveport, LA 71109
Phone (318) 364-2300

441 Atlantic Ave
Shreveport, LA 71105
Phone (318) 393-7019

5904 W 70th St
Shreveport, LA 71129
Phone (318) 364-1750

7340 Wyngate Blvd
Shreveport, LA 71106
Phone (318) 687-4812

7611 Saint Vincent Ave
Shreveport, LA 71106
Phone (318) 861-1671

9360 Woolworth Rd
Shreveport, LA 71129
Phone (318) 227-3350

Interoperability endpoints

  • Direct secure messaging: rachel.brantonpnp.p1@direct.davidraineschc.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1124482120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL DR",
            "address_2": "STE. 120",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112385",
            "telephone_number": "318-742-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL DR",
            "address_2": "STE. 120",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112385",
            "telephone_number": "318-742-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANTON",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "08648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.