Travion Tequilla Renee Labranch
Individual provider Active NPI Licensed Practical Nurse · Edgard, LA
NPI 1457230526 · NPPES record last updated Sep 2, 2025
Key facts
- NPI
- 1457230526
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 280123 (LA)
- Practice address
- 295 Castle Dr
Edgard, LA 70049-2523 - Phone
- (504) 360-3424
- NPI assigned
- Sep 2, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 280123 | LA | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RWJ Home Care, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | |||
| Licensed Practical Nurse | 164W00000X | 280123 | LA | Yes |
Addresses
Primary practice location
295 Castle Dr
Edgard, LA 70049-2523
Mailing address
PO Box 5
Edgard, LA 70049-0005
Phone (504) 360-3424
Other providers in Edgard, LA
- Christopher Gauthier
- Roxie Hill
- Tyreyun Johnson
- Gregory Jones
- Renee Jones
- Tracey Renee Mattio
- Mirage Home Health Agency, LLC
- Mirage Transportation Services LLC
- Paisley at Home, LLC
- Renee Faith
All providers in Edgard, LA · Licensed Practical Nurse in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.