Individual provider Active NPI

Brandi Loreal Wicks, NP

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1295143832
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07966 Issued in LA
Practice address
7777 Bluebonnet Blvd
Baton Rouge, LA 70810-1632
Phone
(225) 766-9091
NPI assigned
Jul 28, 2014
Last updated
Oct 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 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 AP07966 LA Primary

Addresses

Primary practice location

7777 Bluebonnet Blvd
Baton Rouge, LA 70810-1632

Mailing address

7777 Bluebonnet Blvd
Baton Rouge, LA 70810-1632

Other identifiers 2

IdentifierTypeStateIssuer
2387073MedicaidLA
07037554MedicaidMS

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
I20141013001865 LA Practitioner - Nurse Practitioner 6305066465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

104 Acadia Park Dr
Raceland, LA 70394-2618
Phone (985) 537-3211

16777 Medical Ctr Dr
Baton Rouge, LA 70816-3254
Phone (225) 754-3278

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP07966LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jun 8, 2015 Accepting new patients
Urgent Care and Family Medicine Clinic Current Accepting new patients
Ochsner Clinic LLC CurrentSince Jun 8, 2015 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC Past Accepting new patients
Ochsner Clinic LLC Past Accepting new patients

Locations

16777 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 754-3278

1111 Greengate Dr
Ste B
Covington, LA 70433
Phone (985) 246-2420

41676 Veterans Ave
Hammond, LA 70403
Phone (985) 543-3600

5922 W Main St
Ste A
Houma, LA 70360
Phone (985) 262-8015

3417 Williams Blvd
Kenner, LA 70065
Phone (504) 461-9660

12895 Highway 90
Ste H
Luling, LA 70070
Phone (985) 331-9400

1849 Barataria Blvd
Ste B
Marrero, LA 70072
Phone (504) 309-5015

2215 Veterans Memorial Blvd
Metairie, LA 70002
Phone (504) 838-3524

4100 Canal St
New Orleans, LA 70119
Phone (504) 703-2750

4605 Magazine St
New Orleans, LA 70115
Phone (504) 883-8111

111 Allen Toussaint Blvd
Ste C
New Orleans, LA 70124
Phone (504) 286-2001

1514 Jefferson Hwy
New Orleans, LA 70121

900 Magazine St
New Orleans, LA 70130
Phone (504) 309-0534

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

9605 Jefferson Hwy
Ste G
River Ridge, LA 70123
Phone (337) 853-0999

318 N Canal Blvd
Thibodaux, LA 70301
Phone (985) 446-3276

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1295143832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 BLUEBONNET BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 BLUEBONNET BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101632",
            "telephone_number": "225-766-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKS",
        "first_name": "BRANDI",
        "middle_name": "LOREAL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2387073",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07037554",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.