Individual provider Active NPI

Nazira Nasser Ibrahim, NP

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1396266334
Registry record updated Jul 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09416 Issued in LA
Practice address
5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone
(225) 926-8686
NPI assigned
Jun 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2017

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 AP09416 LA Primary

Addresses

Primary practice location

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375

Mailing address

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375

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
I20171026002927 LA Practitioner - Nurse Practitioner 2668748286 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Urgent Care, LLC CurrentSince Dec 30, 2023 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Nov 29, 2021 Accepting new patients
Main Street Emergency Group LLC CurrentSince Aug 4, 2018 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Nov 29, 2021 Accepting new patients

Locations (25 of 29)

6420 Groom Rd
Baker, LA 70714
Phone (225) 412-2781

2100 E Madison Ave
Bastrop, LA 71220
Phone (318) 239-4413

9808 Bluebonnet Blvd
Baton Rouge, LA 70810
Phone (225) 224-8121

8440 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 596-9520

1970 W Laurel Ave
Eunice, LA 70535
Phone (337) 465-2159

965 Sterlington Hwy
Farmerville, LA 71241
Phone (318) 608-4681

1124 S Burnside Ave
Ste 100A
Gonzales, LA 70737
Phone (225) 644-5503

3217 Johnston St
Lafayette, LA 70503
Phone (337) 364-1166

6770 Johnston St
Ste B
Lafayette, LA 70503
Phone (337) 326-5702

203 Westgate Rd
Lafayette, LA 70506
Phone (337) 223-8401

160 San Antonio Ave
Many, LA 71449
Phone (318) 353-3412

863 Tunica Dr E
Marksville, LA 71351
Phone (318) 717-1175

3013 Veterans Memorial Dr
Ste 101
Meaux, LA 70510
Phone (337) 385-5008

1034 Homer Rd
Minden, LA 71055
Phone (318) 639-4664

4015 Sterlington Rd
Monroe, LA 71203
Phone (318) 543-0106

1050 E Admiral Doyle Dr
Ste A
New Iberia, LA 70560
Phone (337) 376-0515

1110 E Saint Peter St
New Iberia, LA 70560
Phone (337) 364-1166

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

300 Hospital Rd
New Roads, LA 70760
Phone (225) 310-6501

1902 Highway 165 S
Oakdale, LA 71463
Phone (318) 215-7806

58330 Belleview Rd
Plaquemine, LA 70764
Phone (225) 320-0703

1316 The Blvd
Rayne, LA 70578
Phone (337) 399-0067

117 N Service Rd E
Ruston, LA 71270
Phone (318) 406-0360

3333 Pontchartrain Dr
Slidell, LA 70458
Phone (985) 238-0320

1918 S Arkansas St
Springhill, LA 71075
Phone (318) 277-2581

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499040000000",
    "number": "1396266334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 HENNESSY BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 HENNESSY BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084375",
            "telephone_number": "225-926-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "NAZIRA",
        "middle_name": "NASSER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2017-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.