Individual provider Active NPI

Angela Lashay Hardy, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Gibsland, LA
National Provider Identifier
1174773824
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP05586 Issued in LA
Practice address
775 First St
Gibsland, LA 71028
Phone
(318) 458-8880
NPI assigned
Sep 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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 AP05586 LA Primary

Addresses

Primary practice location

775 First St
Gibsland, LA 71028

Mailing address

PO Box 258
Gibsland, LA 71028-0258
Phone (318) 458-8880

Other identifiers 1

IdentifierTypeStateIssuer
RN107298OtherLARN LICENSE INFORMATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, AR, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20090112000375 LA Practitioner - Nurse Practitioner 5092878496 Reassigns benefits to 2 organizations
I20241018003525 AR Practitioner - Nurse Practitioner 5092878496 Reassigns benefits to 1 organization
I20260506000045 TX Practitioner - Nurse Practitioner 5092878496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

424 Church St
Nashville, TN 37219-2301

PO Box
Suite 258
Gibsland, LA 71028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Health Network LLC Nurse Practitioner CurrentSince Dec 1, 2022 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Aug 5, 2024 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Aug 11, 2024 Accepting new patients
Advanced Practice Professionals, LLC Family Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895

201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 582-1416

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 5

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": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1174773824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 258",
            "city": "GIBSLAND",
            "state": "LA",
            "postal_code": "710280258",
            "telephone_number": "318-458-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 FIRST ST",
            "city": "GIBSLAND",
            "state": "LA",
            "postal_code": "71028",
            "telephone_number": "318-458-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "ANGELA",
        "middle_name": "LASHAY",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP05586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE INFORMATION",
            "identifier": "RN107298",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibsland, LA

Sources for this page

Verify at the official NPI Registry.