Active NPI
Abundance Care, Family Practice Clinic
- Clinic/Center
- Bossier City, LA
National Provider Identifier
1346777653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2404580 | Medicaid | LA |
National Provider Directory
National Provider DirectoryNPI 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.