Active NPI
Brooke Elizabeth Musso, NP
- Family Nurse Practitioner
- Denham Springs, LA
National Provider Identifier
1306344379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP09761
- Practice address
- 8375 Florida Blvd
Denham Springs, LA 70726-7806 - Phone
- (225) 655-2664
- NPI assigned
- Jan 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP09761 | LA | Primary |
Addresses
Primary practice location
8375 Florida Blvd
Denham Springs, LA 70726-7806
Mailing address
8369 Florida Blvd Ste 7
Denham Springs, LA 70726-7862
Phone (225) 380-1771
Other practice location 1
3136 S Saint Landry Ave
Gonzales, LA 70737-5801
Phone (225) 647-7524
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP09761 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robin Dale M.D. LLC | Current | Accepting new patients |
Locations
8369 Florida Blvd
Ste 5
Denham Springs, LA 70726
Phone (225) 380-1771
8369 Florida Blvd
Ste 7
Denham Springs, LA 70726
Phone (225) 380-1771
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Denham Springs, LA
- NPI 1053865360
-
- Specialist
- Baton Rouge, LA
- NPI 1033351127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673568000000",
"number": "1306344379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8369 FLORIDA BLVD STE 7",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707267862",
"telephone_number": "225-380-1771",
"fax_number": "225-380-1772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8375 FLORIDA BLVD",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707267806",
"telephone_number": "225-655-2664"
}
],
"practiceLocations": [
{
"address_1": "3136 S Saint Landry Ave",
"address_purpose": "LOCATION",
"city": "Gonzales",
"state": "LA",
"postal_code": "707375801",
"country_code": "US",
"telephone_number": "225-647-7524",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUSSO",
"first_name": "BROOKE",
"middle_name": "ELIZABETH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-25",
"last_updated": "2023-01-13",
"certification_date": "2023-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP09761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denham Springs, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.