Organization Active NPI

Reach for Recovery

  • Nurse Practitioner
  • Bossier City, LA
National Provider Identifier
1124764964
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
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

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Tia Deshaun Thomas, APRN, FNP-CNPI 1265715254
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)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
Direct Messaging Address tiathomas@reachforrecovery.kareodirect.com Direct

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.