Individual provider Active NPI

Bryannah Norris-Wilcox

  • Social Worker
  • Alexandria, LA
National Provider Identifier
1336710581
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
18010 Issued in LA
Practice address
1403 Metro Dr Ste C1
Alexandria, LA 71301-3446
Phone
(318) 625-7467
NPI assigned
Jul 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 18010 LA
Case Manager/Care Coordinator 171M00000X LA
Social Worker 104100000X 18010 LA Primary

Addresses

Primary practice location

1403 Metro Dr Ste C1
Alexandria, LA 71301-3446

Mailing address

1403 Metro Dr Ste C1
Alexandria, LA 71301-3446
Phone (318) 625-7467

Other practice location 1

1403 Metro Dr Ste C1
Alexandria, LA 71301
Phone (318) 625-7467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18010LAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1336710581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 METRO DR STE C1",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013446",
            "telephone_number": "318-625-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 METRO DR STE C1",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013446",
            "telephone_number": "318-625-7467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1403 Metro Dr Ste C1",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "71301",
            "country_code": "US",
            "telephone_number": "318-625-7467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORRIS-WILCOX",
        "first_name": "BRYANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "18010",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "18010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.