Shirley Jean Brisco, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

RN075082 Issued in LA

Practice address

44 Versailles Blvd
Alexandria, LA 71303-3960

Phone

(318) 445-5111

Fax

(318) 442-2261

NPI assigned

Feb 15, 2008

Last updated

Oct 31, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bayou Healthcare, LLC

  dba Crossroads Regional Hospital

  • Psychiatric Hospital
  • Alexandria, LA
  • NPI 1083898571
  NPD (past)
• Longview Wellness Center Inc

  dba Wellness Pointe

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1578369922
  NPD (past)

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1174791750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 VERSAILLES BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033960",
            "telephone_number": "318-445-5111",
            "fax_number": "318-442-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 VERSAILLES BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033960",
            "telephone_number": "318-445-5111",
            "fax_number": "318-442-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISCO",
        "first_name": "SHIRLEY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-15",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "LA",
            "license": "RN075082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Colin Brian, MD
• Sue Ellen Davis Bricker
• Bright Futures Pediatrics, LLC (Bright Futures Pediatrics)
• Brighter Day Counseling and Consulting Services of Cenla, LLC
• Katrina Danielle Brinson
• Temeisha Iaisha Nicole Brisco, MPA
• Alica Carynn Brister, RN, BSN
• Amanda Brister
• Bailie Brister
• Christina Norlander Brister, NP

• Psychiatric/Mental Health Registered Nurse in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Psychiatric/Mental Health Registered Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.