Active NPI
Reach for Recovery
- Nurse Practitioner
- Bossier City, LA
National Provider Identifier
1124764964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- REACH FOR RECOVERY
- Practice address
- 1701 Old Minden Rd Ste 17F
Bossier City, LA 71111-4804 - Phone
- (318) 317-1238
- Fax
- (318) 390-1802
- NPI assigned
- May 5, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tia Deshaun Thomas, APRN, FNP-C
- Title
- Owner
- Phone
- (318) 317-1238
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
1701 Old Minden Rd Ste 17F
Bossier City, LA 71111-4804
Mailing address
1701 Old Minden Rd Ste 17F
Bossier City, LA 71111-4804
Phone (318) 317-1238
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tiathomas@reachforrecovery.kareodirect.com | Direct |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- tiathomas@reachforrecovery.kareodirect.com
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Bossier City, LA
- NPI 1265715254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688601600000",
"number": "1124764964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 OLD MINDEN RD STE 17F",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711114804",
"telephone_number": "318-317-1238",
"fax_number": "318-390-1802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 OLD MINDEN RD STE 17F",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711114804",
"telephone_number": "318-317-1238",
"fax_number": "318-390-1802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REACH FOR RECOVERY",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-05",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "TIA",
"authorized_official_middle_name": "DESHAUN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "318-317-1238",
"authorized_official_credential": "APRN, FNP-C"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tiathomas@reachforrecovery.kareodirect.com",
"affiliation": "N",
"endpointDescription": "KAREO EHR DIRECT MESSAGING",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1701 Old Minden Rd Ste 17F",
"city": "Bossier City",
"state": "LA",
"country_code": "US",
"postal_code": "711114804",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bossier City, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.