Individual provider Active NPI

Brittany D Fortie, FNP-C

  • Family Nurse Practitioner
  • Opelousas, LA
National Provider Identifier
1396111480
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08491 Issued in LA
Practice address
3983 I 49 S Service Rd Ste 101
Opelousas, LA 70570-0758
Phone
(337) 942-1126
NPI assigned
Aug 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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 AP08491 LA Primary

Addresses

Primary practice location

3983 I 49 S Service Rd Ste 101
Opelousas, LA 70570-0758

Mailing address

1836 Maringouin Rd E
Maringouin, LA 70757-5312
Phone (225) 718-1052

Other practice location 1

1836 Maringouin Rd E
Maringouin, LA 70757-5312
Phone (225) 718-1052

Other identifiers 1

IdentifierTypeStateIssuer
2407961MedicaidLA

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
I20151229002584 LA Practitioner - Nurse Practitioner 5496057986 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Bird Perkins Cancer CenterGroup PAC ID 4385646280, 95 clinicians

Practice addresses (Care Compare)

3983 I 49 S Service Rd
Opelousas, LA 70570-0758
Phone (337) 948-5168

4950 Essen LN
Baton Rouge, LA 70809-3738
Phone (225) 767-0847

4950 Essen LN
Suite 500
Baton Rouge, LA 70809-3482
Phone (225) 767-0847

Hospital & facility affiliations

  • Opelousas General Health System Hospital, Opelousas, LA, CCN 190017

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospital & Clinics, Inc. CurrentSince Dec 25, 2018 Accepting new patients
Mary Bird Perkins Cancer Center CurrentSince Apr 23, 2024 Accepting new patients
Lafayette General Medical Center Inc. CurrentSince Nov 26, 2018 Accepting new patients
University Hospital & Clinics Inc CurrentSince Dec 25, 2018 Accepting new patients
Lafayette General Medical Center Inc. CurrentSince Nov 26, 2018 Accepting new patients
Oncologics, Inc. PastSince Jan 1, 2017 Accepting new patients
Lafayette General Medical Center Inc Past Accepting new patients

Locations

4950 Essen Ln
Ste 500
Baton Rouge, LA 70809
Phone (225) 765-8823

1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222

1104 W Highway 30
Gonzales, LA 70737
Phone (225) 215-1321

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

3983 I 49 S Service Rd
Ste 101
Opelousas, LA 70570
Phone (337) 942-1126

3983 I 49 S Service Rd
Opelousas, LA 70570
Phone (337) 407-4512

4950 Essen Ln
St George, LA 70809
Phone (225) 767-0847

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1396111480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 MARINGOUIN RD E",
            "city": "MARINGOUIN",
            "state": "LA",
            "postal_code": "707575312",
            "telephone_number": "225-718-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3983 I 49 S SERVICE RD STE 101",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705700758",
            "telephone_number": "337-942-1126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1836 Maringouin Rd E",
            "address_purpose": "LOCATION",
            "city": "Maringouin",
            "state": "LA",
            "postal_code": "707575312",
            "country_code": "US",
            "telephone_number": "225-718-1052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTIE",
        "first_name": "BRITTANY",
        "middle_name": "D",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2407961",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.