Active NPI
Brandi B Lea, NP
- Family Nurse Practitioner
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN096450 AP04420
- Practice address
- 7777 Hennessy Blvd
Suite 2004
Baton Rouge, LA 70808-4300 - Phone
- (225) 769-2500
- Fax
- (225) 706-1008
- NPI assigned
- May 9, 2006
- Last updated
- Dec 17, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN096450 AP04420 | LA | Primary |
Addresses
Primary practice location
7777 Hennessy Blvd
Suite 2004
Baton Rouge, LA 70808-4300
Mailing address
35415 Old la Highway 16
Denham Springs, LA 70706-0560
Phone (225) 936-9662
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477346 | Medicaid | LA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8000 Summa Ave
Baton Rouge, LA 70809-3423
Phone (225) 819-0703
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN096450 AP04420 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pelican State Outpatient Center - Caro Clinic L. L. C. | Current | Accepting new patients | |
| St Helena Parish Hospital | Past | Accepting new patients | |
| Caro Clinic, LLC | Past | Accepting new patients | |
| Checkups - la LLC | Nurse Practitioner | Past | Accepting new patients |
Locations
8000 Summa Ave
Baton Rouge, LA 70809
Phone (225) 766-0130
2304 S Burnside Ave
Ste 2
Gonzales, LA 70737
Phone (225) 647-6533
333 E Worthy St
Gonzales, LA 70737
Phone (225) 450-2775
Interoperability endpoints
- brandi.lea.1@15263.direct.athenahealth.com
- https://api.platform.athenahealth.com/15263/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba P. S. O. C. - Caro Clinic
- Primary Care Clinic/Center
- Gonzales, LA
- NPI 1467507913
-
- Primary Care Clinic/Center
- Gonzales, LA
- NPI 1356234900
-
dba St. Helena Parish Hospital Rural Health Clinic
- Rural Health Clinic/Center
- Greensburg, LA
- NPI 1003865619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292544000000",
"number": "1437108172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35415 OLD LA HIGHWAY 16",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707060560",
"telephone_number": "225-936-9662",
"fax_number": "225-706-1008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 HENNESSY BLVD",
"address_2": "SUITE 2004",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084300",
"telephone_number": "225-769-2500",
"fax_number": "225-706-1008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEA",
"first_name": "BRANDI",
"middle_name": "B",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-09",
"last_updated": "2010-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "RN096450 AP04420",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477346",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.