Individual provider Active NPI

Holly Reichardt, NP

  • Family Nurse Practitioner
  • Rayville, LA
National Provider Identifier
1134636293
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09724 Issued in LA
Practice address
832 Julia St
Rayville, LA 71269-2608
Phone
(318) 728-4787
Fax
(318) 728-2598
NPI assigned
Jan 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP09724 LA Primary

Addresses

Primary practice location

832 Julia St
Rayville, LA 71269-2608

Mailing address

832 Julia St
Rayville, LA 71269-2608
Phone (318) 728-4787

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
I20201203001665 LA Practitioner - Nurse Practitioner 6800207481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRWGroup PAC ID 5092126672, 3 clinicians

Practice addresses (Care Compare)

832 Julia St
Rayville, LA 71269-2608
Phone (318) 728-4787

Hospital & facility affiliations

  • Richardson Medical Center Hospital, Rayville, LA, CCN 190151
  • Fmol Health St Francis Hospital, Monroe, LA, CCN 190125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP09724LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DRW Family CurrentSince Aug 10, 2020 Accepting new patients

Locations

1962 Julia St
Rayville, LA 71269
Phone (318) 728-8833

832 Julia St
Rayville, LA 71269
Phone (318) 728-3831

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1134636293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 JULIA ST",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712692608",
            "telephone_number": "318-728-4787",
            "fax_number": "318-728-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 JULIA ST",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712692608",
            "telephone_number": "318-728-4787",
            "fax_number": "318-728-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHARDT",
        "first_name": "HOLLY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rayville, LA

Sources for this page

Verify at the official NPI Registry.