Individual provider Active NPI

Barbara Goodgion Davidson, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1124773254
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
224138 Issued in LA
Practice address
3100 Kilpatrick Blvd Ste 100
Monroe, LA 71201-5156
Phone
(318) 325-8050
Fax
(318) 325-5385
NPI assigned
Feb 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 224138 LA Primary

Addresses

Primary practice location

3100 Kilpatrick Blvd Ste 100
Monroe, LA 71201-5156

Mailing address

295 Blue Heron Rd
Dubach, LA 71235-3429
Phone (318) 235-3294

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
I20220325000188 LA Practitioner - Nurse Practitioner 8123413390 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solutions Medical Consulting, LLCGroup PAC ID 6002944048, 6 clinicians

Practice addresses (Care Compare)

1495 Frazier Rd
Ruston, LA 71270-1632
Phone (318) 202-3860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
224138LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family New Life Rehabilitation Center, Inc. CurrentSince Feb 24, 2022 Accepting new patients
Unlimited Wellbeing LLC Psychiatric/Mental Health CurrentSince Aug 18, 2023 Accepting new patients
Solutions Medical Consulting, LLC CurrentSince Feb 15, 2022 Accepting new patients
Solutions Medical Consulting, LLC PastSince Feb 15, 2022 Accepting new patients
Aruna Gullapalli MD Apmc PastSince Feb 24, 2022 Accepting new patients
Cornerstone Behavioral Health, LLC PastSince Oct 6, 2019 Accepting new patients

Locations

2100 Oliver Rd
Monroe, LA 71201
Phone (318) 322-0301

2404 Duval Dr
Monroe, LA 71201
Phone (318) 322-0640

3100 Kilpatrick Blvd
Ste 100
Monroe, LA 71201
Phone (318) 325-8048

1495 Frazier Rd
Ruston, LA 71270
Phone (318) 202-3860

2929 Highway 33
Ruston, LA 71270
Phone (318) 251-9097

Organizations & group practices 7

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": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1124773254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 BLUE HERON RD",
            "city": "DUBACH",
            "state": "LA",
            "postal_code": "712353429",
            "telephone_number": "318-235-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 KILPATRICK BLVD STE 100",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015156",
            "telephone_number": "318-325-8050",
            "fax_number": "318-325-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "BARBARA",
        "middle_name": "GOODGION",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "224138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.