Individual provider Active NPI

Brooke Elizabeth Musso, NP

  • Family Nurse Practitioner
  • Denham Springs, LA
National Provider Identifier
1306344379
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09761 Issued in LA
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

Updated by the provider on Jan 13, 2023

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180319000287 LA Practitioner - Nurse Practitioner 8921360678 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP09761LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robin Dale M.D. LLC CurrentSince Aug 1, 2019 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.

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

Verify at the official NPI Registry.