Individual provider Active NPI

Brandy G Hawkins, FNP

  • Family Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1164049359
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
214188 Issued in LA
Practice address
3217 Mabel St
Shreveport, LA 71103-4022
Phone
(318) 631-9121
Fax
(318) 631-9126
NPI assigned
Jul 3, 2020
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 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 214188 LA Primary

Addresses

Primary practice location

3217 Mabel St
Shreveport, LA 71103-4022

Mailing address

PO Box 38150
Shreveport, LA 71133-8150
Phone (318) 631-9121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210809002785 LA Practitioner - Nurse Practitioner 6800290198 Reassigns benefits to 6 organizations
I20251222003855 TX Practitioner - Nurse Practitioner 6800290198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LHCG Cciii, LLCGroup PAC ID 0244627396, 2 clinicians

Practice addresses (Care Compare)

6425 Youree Dr
Suite 560
Shreveport, LA 71105-4653
Phone (318) 399-7520

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
214188LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Plus Limited Liability Company Nurse Practitioner CurrentSince Dec 1, 2025 Accepting new patients
Capitol City Family Health Center Incorporated Current Accepting new patients
Winn Community Health Center, Inc. Current Accepting new patients
Winn Community Health Center, Inc. CurrentSince Sep 25, 2024 Accepting new patients
LHCG Cciii, LLC CurrentSince Feb 3, 2025 Accepting new patients
Capitol City Family Health Center, Incorporated CurrentSince Mar 10, 2024 Accepting new patients
Capitol City Family Health Center Incorporated CurrentSince Mar 10, 2024 Accepting new patients
Gastrointestinal Specialists, a.M.C. CurrentSince Feb 12, 2024 Accepting new patients
Wound Management Specialists, LLC Nurse Practitioner CurrentSince Dec 2, 2025 Accepting new patients
Winn Community Health Center, Inc. Nurse Practitioner CurrentSince Sep 25, 2024 Accepting new patients
Coastal Urgent Care, LLC PastSince Jul 1, 2020 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

3217 Mabel St
Shreveport, LA 71103

425 Ashley Ridge Blvd
Ste 330C
Shreveport, LA 71106
Phone (318) 399-7520

6425 Youree Dr
Ste 560
Shreveport, LA 71105
Phone (318) 399-7520

8383 Millicent Way
Ste B
Shreveport, LA 71115
Phone (318) 681-4282

8730 Youree Dr
Ste A
Shreveport, LA 71115
Phone (318) 221-2707

8730 Youree Dr
Ste Ab
Shreveport, LA 71115
Phone (318) 408-1505

434 Katherine Dr
Flowood, MS 39232
Phone (769) 216-3346

778 Liberty Rd
Flowood, MS 39232
Phone (601) 326-1794

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

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1593734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1164049359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38150",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711338150",
            "telephone_number": "318-631-9121",
            "fax_number": "318-631-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 MABEL ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034022",
            "telephone_number": "318-631-9121",
            "fax_number": "318-631-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "BRANDY",
        "middle_name": "G",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-03",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "214188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.