Individual provider Active NPI

Heather L Brooks, FNP-C

  • Family Nurse Practitioner
  • Slidell, LA
National Provider Identifier
1306100672
Registry record updated Jan 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP06867 Issued in LA
Practice address
1570 Lindberg Dr # 10-12
Slidell, LA 70458-8083
Phone
(985) 643-5242
NPI assigned
Jul 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP06867 LA Primary
Family Nurse Practitioner 363LF0000X R892477 MS

Addresses

Primary practice location

1570 Lindberg Dr # 10-12
Slidell, LA 70458-8083

Mailing address

115 Pine Cir
Slidell, LA 70458-1138
Phone (504) 913-5454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121009000201 MS Practitioner - Nurse Practitioner 2365691284 Reassigns benefits to 2 organizations
I20130807000257 LA Practitioner - Nurse Practitioner 2365691284 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
University Medical Center Management CorporationGroup PAC ID 7012150311, 91 clinicians

Practice addresses (Care Compare)

2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000

Hospital & facility affiliations

  • University Medical Center New Orleans Hospital, New Orleans, LA, CCN 190005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R892477MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Nov 4, 2013 Accepting new patients
Fast Pace Mississippi, PLLC Family CurrentSince Oct 1, 2018 Accepting new patients
University Medical Center Management Corporation CurrentSince Dec 10, 2019 Accepting new patients
University Medical Center Management Corporation Family CurrentSince Dec 10, 2019 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Keystone Medical Services of Ms, Inc CurrentSince Feb 4, 2013 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Oct 1, 2018 Accepting new patients
Ochsner Clinic LLC CurrentSince Nov 4, 2013 Accepting new patients
Greenbriar Nursing Center, Inc. PastSince May 1, 2018 Accepting new patients
Tchefuncta Emergency Physicians LLC Past Accepting new patients
Louisiana Em-1 Medical Services, a Medical Corporation Past Accepting new patients
Collaborative Health and Rehabilitation Services, Inc Family Past Accepting new patients

Locations

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

1514 Jefferson Hwy
New Orleans, LA 70121

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

Organizations & group practices 12

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.

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": "1341100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357430400000",
    "number": "1306100672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PINE CIR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704581138",
            "telephone_number": "504-913-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 LINDBERG DR # 10-12",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588083",
            "telephone_number": "985-643-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "HEATHER",
        "middle_name": "L",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-01",
        "last_updated": "2013-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06867",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R892477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.