Bossier Family Medical Clinic LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

BOSSIER FAMILY MEDICAL CLINIC LLC

Practice address

3330 Barksdale Blvd
Bossier City, LA 71112-3802

Phone

(318) 841-5541

Fax

(318) 841-5545

NPI assigned

Mar 22, 2010

Last updated

Sep 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Twyla Hurst, APRN, FNP-CNPI 1083814073

Title

Owner/Operator

Phone

(318) 841-5541

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Twyla Hurst, FNP

  • Family Nurse Practitioner
  • Bossier City, LA
  • NPI 1083814073
  Medicare reassignment NPD Authorized official
• Ursula Maroski Carlisle, NP

  • Family Nurse Practitioner
  • Bossier City, LA
  • NPI 1770083909
  NPD

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1265756126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 BARKSDALE BLVD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711123802",
            "telephone_number": "318-841-5541",
            "fax_number": "318-841-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 BARKSDALE BLVD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711123802",
            "telephone_number": "318-841-5541",
            "fax_number": "318-841-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSSIER FAMILY MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "TWYLA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "318-841-5541",
        "authorized_official_credential": "APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bossier City Prosthetic & Orthotics
• Bossier Council on Aging
• Bossier Eye Institute LLC
• Bossier Family Counseling, LLC
• Bossier Family Eye Care, Inc.
• Bossier Family Medicine, LLC (Bossier Family Medicine)
• Bossier Family Medicine, LLC (First Care Bossier)
• Bossier Healthcare LLC (Heritage Manor of Bossier)
• Bossier Office of Community Services Inc
• Bossier Ophthalmology Clinic AMC

• Family Nurse Practitioner in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.