Individual provider Active NPI

Brittney Raffial Patterson-Davis, FNP

  • Family Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1205170297
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07110 Issued in LA
Practice address
500 Patterson St
Lafayette, LA 70501-1849
Phone
(337) 769-9451
NPI assigned
Nov 15, 2012
Last updated
Dec 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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 AP07110 LA Primary

Addresses

Primary practice location

500 Patterson St
Lafayette, LA 70501-1849

Mailing address

500 Patterson Street
Lafayette, LA 70501

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
I20150519000310 LA Practitioner - Nurse Practitioner 6002136884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HIV-AIDS Alliance for Region TwoGroup PAC ID 4880981158, 18 clinicians

Practice addresses (Care Compare)

3801 N Blvd
Baton Rouge, LA 70806-3825
Phone (225) 655-6422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP07110LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge Primary Care Collaborative, Inc. CurrentSince Apr 5, 2015 Accepting new patients
HIV-AIDS Alliance for Region Two Current Accepting new patients
Baton Rouge Primary Care Collaborative, Inc. CurrentSince Apr 5, 2015 Accepting new patients
HIV-AIDS Alliance for Region Two CurrentSince Dec 14, 2020 Accepting new patients
HIV-AIDS Alliance for Region Two Past Accepting new patients

Locations

2013 Central Rd
Ste B
Baton Rouge, LA 70807
Phone (225) 774-1120

3801 North Blvd
Baton Rouge, LA 70806
Phone (225) 381-6620

3849 North Blvd
Baton Rouge, LA 70806
Phone (225) 342-9368

7050 Plank Rd
Baton Rouge, LA 70811
Phone (225) 774-1120

Interoperability endpoints

  • Direct secure messaging: brittney.patterson-davis@478600780382212.direct.elationemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1205170297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PATTERSON STREET",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PATTERSON ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705011849",
            "telephone_number": "337-769-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON-DAVIS",
        "first_name": "BRITTNEY",
        "middle_name": "RAFFIAL",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.