Brandy G Hawkins, FNP
Individual provider Active NPI Family Nurse Practitioner · Shreveport, LA
NPI 1164049359 · NPPES record last updated Feb 7, 2024
Key facts
- NPI
- 1164049359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 214188 (LA)
- Practice address
- 3217 Mabel St
Shreveport, LA 71103-4022 - Phone
- (318) 631-9121
- Fax
- (318) 631-9126
- NPI assigned
- Jul 3, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- LHCG Cciii, LLC
Practice addresses (Care Compare)
6425 Youree Dr
Suite 560
Shreveport, LA 71105-4653
Phone (318) 399-7520
Hospital & facility affiliations
- Christus Shreveport-Bossier Health System
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in LA, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210809002785 | LA | Practitioner - Nurse Practitioner | 6800290198 | Reassigns benefits to 6 organizations |
| I20251222003855 | TX | Practitioner - Nurse Practitioner | 6800290198 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214188 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capitol City Family Health Center Incorporated | Current | Accepting new patients | |
| Winn Community Health Center, Inc. | Nurse Practitioner | Current |
Accepting new patients |
| LHCG Cciii, LLC | Current |
Accepting new patients | |
| Wound Management Specialists, LLC | Nurse Practitioner | Current |
Accepting new patients |
| Gastrointestinal Specialists, a.M.C. | Current |
Accepting new patients | |
| Capitol City Family Health Center Incorporated | Current |
Accepting new patients | |
| Winn Community Health Center, Inc. | Current |
Accepting new patients | |
| Capitol City Family Health Center, Incorporated | Current |
Accepting new patients | |
| Healthcare Plus Limited Liability Company | Nurse Practitioner | Current |
Accepting new patients |
| Winn Community Health Center, Inc. | Current | Accepting new patients | |
| Coastal Urgent Care, LLC | Past |
Accepting new patients |
Locations
3140 Florida St
Baton Rouge, LA 70806
Phone (225) 650-2000
340 Webb Smith Dr
Colfax, LA 71417
Phone (318) 627-3700
3001 22nd St
Metairie, LA 70002
Phone (504) 949-0450
8383 Millicent Way
Ste B
Shreveport, LA 71115
Phone (318) 681-4282
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
8730 Youree Dr
Ste A
Shreveport, LA 71115
Phone (318) 221-2707
8730 Youree Dr
Ste Ab
Shreveport, LA 71115
Phone (318) 408-1505
3217 Mabel St
Shreveport, LA 71103
6425 Youree Dr
Ste 560
Shreveport, LA 71105
Phone (318) 399-7520
425 Ashley Ridge Blvd
Ste 330C
Shreveport, LA 71106
Phone (318) 399-7520
434 Katherine Dr
Flowood, MS 39232
Phone (769) 216-3346
778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620
1600 S Henderson Blvd
Kilgore, TX 75662
Phone (903) 215-3149
2901 4th St
Longview, TX 75605
Phone (281) 371-1800
515 N 3rd St
Longview, TX 75601
Phone (903) 215-3149
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 214188 | LA | Yes |
Addresses
Primary practice location
3217 Mabel St
Shreveport, LA 71103-4022
Mailing address
PO Box 38150
Shreveport, LA 71133-8150
Phone (318) 631-9121
Other providers in Shreveport, LA
- Jennifer Haught
- Gentry Lee Haughton
- Lisa Suzanne Haulmark
- Chad Richard Havard
- Richard Taylor Havens
- Brittany Hawkins
- Harry L Hawkins Jr.
- Hearise Hawkins
- Jeremy Alan Hawkins
- Kimberly Hawkins
All providers in Shreveport, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.