Individual provider Active NPI

Bridget Odom Lee

  • Family Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1285296723
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
206766 Issued in LA
Practice address
2924 Knight St Ste 357
Shreveport, LA 71105-2413
Phone
(318) 564-7023
Fax
(318) 404-1631
NPI assigned
Jul 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2025034023 LA
Family Nurse Practitioner 363LF0000X 206766 LA Primary

Addresses

Primary practice location

2924 Knight St Ste 357
Shreveport, LA 71105-2413

Mailing address

5820 Cross Lake Point Dr
Shreveport, LA 71107-7425
Phone (318) 564-7023

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
I20190801000808 LA Practitioner - Nurse Practitioner 1153657853 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206766LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Her Wellness, LLC CurrentSince Dec 30, 2024 Accepting new patients
H.E.R. Integrative Wellness LLC Family CurrentSince Jul 17, 2026 Accepting new patients
David Raines Community Health Center, Inc CurrentSince Jul 1, 2022 Accepting new patients
University Health Shreveport LLC Nurse Practitioner CurrentSince Jul 29, 2019 Accepting new patients
David Raines Community Health Center, Inc CurrentSince Jul 1, 2022 Accepting new patients
David Raines Community Health Center, Inc Current Accepting new patients
Lsu Health Sciences Center Shreveport Faculty Group Practice CurrentSince Feb 10, 2020 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Jun 7, 2022 Accepting new patients
David Raines Community Health Center, Inc. Past Accepting new patients

Locations (25 of 27)

777 Bearkat Dr
Bossier City, LA 71111
Phone (318) 723-7242

1514 Doctors Dr
Bossier City, LA 71111
Phone (318) 549-2500

2401 Old Minden Rd
Bossier City, LA 71112
Phone (318) 723-7242

12763 Lay St
Gilliam, LA 71029
Phone 31822733503170

1953 Main St
Haynesville, LA 71038
Phone (318) 227-3350

12201 Mansfield Rd
Keithville, LA 71047
Phone (318) 364-2742

128 Homer Rd
Minden, LA 71055
Phone (318) 377-1545

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

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

3825 Gilbert Dr
Ste 143
Shreveport, LA 71104
Phone (318) 200-0020

1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177

3041 Dr Martin Luther King Dr
Shreveport, LA 71107
Phone (318) 227-3350

4331 Henry St
Shreveport, LA 71109
Phone (318) 364-2300

9360 Woolworth Rd
Shreveport, LA 71129
Phone (318) 227-3350

725 N Ashley Ridge Loop
Ste 400
Shreveport, LA 71106
Phone (318) 213-1030

7340 Wyngate Blvd
Shreveport, LA 71106
Phone (318) 686-3161

1625 David Raines Rd
Shreveport, LA 71107
Phone (318) 425-2252

441 Atlantic Ave
Shreveport, LA 71105
Phone (318) 393-7019

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

2924 Knight St
Ste 357
Shreveport, LA 71105
Phone (318) 552-7473

351 Hearne Ave
Shreveport, LA 71103
Phone (318) 425-8742

5904 W 70th St
Shreveport, LA 71129
Phone (318) 364-1750

3222 Greenwood Rd
Shreveport, LA 71109
Phone (318) 364-5170

401 W 70th St
Shreveport, LA 71106
Phone (318) 227-3350

7611 Saint Vincent Ave
Shreveport, LA 71106
Phone (318) 861-1671

Interoperability endpoints

  • Direct secure messaging: bridget.lee.p1@direct.davidraineschc.nextgenshare.com

Organizations & group practices 9

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": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1285296723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 CROSS LAKE POINT DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711077425",
            "telephone_number": "318-564-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 KNIGHT ST STE 357",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052413",
            "telephone_number": "318-564-7023",
            "fax_number": "318-404-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "BRIDGET",
        "middle_name": "ODOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-05",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "2025034023",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "206766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.