Individual provider Active NPI

Ashley Brazzell, AGNP

  • Gerontology Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1366091829
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
241500 Issued in LA
Practice address
3311 Prescott Rd Ste 312
Alexandria, LA 71301-3984
Phone
(318) 528-3606
Fax
(318) 528-3607
NPI assigned
Sep 8, 2019
Last updated
Jul 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 241500 LA Primary

Addresses

Primary practice location

3311 Prescott Rd Ste 312
Alexandria, LA 71301-3984

Mailing address

802 Chandler Dr
Ball, LA 71405-8771
Phone (318) 446-8749

Other practice location 1

3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 446-8749

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL hospital Direct

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
241500LAMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1567900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1366091829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 CHANDLER DR",
            "city": "BALL",
            "state": "LA",
            "postal_code": "714058771",
            "telephone_number": "318-446-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 PRESCOTT RD STE 312",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013984",
            "telephone_number": "318-528-3606",
            "fax_number": "318-528-3607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3330 Masonic Dr",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713013841",
            "country_code": "US",
            "telephone_number": "318-446-8749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAZZELL",
        "first_name": "ASHLEY",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-08",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "LA",
            "license": "241500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hospital",
            "affiliation": "N",
            "endpointDescription": "direct contact",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct contact",
            "address_1": "3330 Masonic Dr",
            "city": "Alexandria",
            "state": "LA",
            "country_code": "US",
            "postal_code": "713013841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.