Organization Active NPI

Abundance Care, Family Practice Clinic

  • Clinic/Center
  • Bossier City, LA
National Provider Identifier
1346777653
Registry record updated May 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ABUNDANCE CARE, FAMILY PRACTICE CLINIC
Practice address
105 Lancashire Dr
Bossier City, LA 71111-2022
Phone
(318) 243-2411
Fax
(318) 562-3309
NPI assigned
May 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2017

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

Authorized official

Name
Ms. Jaschandria I. Bailey, APRN
Title
Family Nurse Practitioner / Owner
Phone
(318) 243-2411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

105 Lancashire Dr
Bossier City, LA 71111-2022

Mailing address

PO Box 5281
Bossier City, LA 71171-5281
Phone (318) 243-2411

Other identifiers 1

IdentifierTypeStateIssuer
2404580MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494979200000",
    "number": "1346777653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5281",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711715281",
            "telephone_number": "318-243-2411",
            "fax_number": "318-562-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LANCASHIRE DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112022",
            "telephone_number": "318-243-2411",
            "fax_number": "318-562-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANCE CARE, FAMILY PRACTICE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2017-05-17",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JASCHANDRIA",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER / OWNER",
        "authorized_official_telephone_number": "318-243-2411",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2404580",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; 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.