Individual provider Active NPI

Randall S Laborde II, APRN, FNP-C

  • Family Nurse Practitioner
  • Marksville, LA
National Provider Identifier
1467024042
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
221056 Issued in LA
Practice address
597 Tunica Dr W
Marksville, LA 71351-2628
Phone
(318) 253-0677
NPI assigned
Jul 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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 221056 LA Primary

Addresses

Primary practice location

597 Tunica Dr W
Marksville, LA 71351-2628

Mailing address

1004 Highway 1188
Hessmer, LA 71341-4508
Phone (318) 305-3951

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
I20210911000066 LA Practitioner - Nurse Practitioner 0143626499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CLHG-Avoyelles LLCGroup PAC ID 8921380528, 39 clinicians

Practice addresses (Care Compare)

4239 Hwy 1192
Suite 300
Marksville, LA 71351-4772
Phone (318) 253-8611

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CLHG-Avoyelles LLC Current Accepting new patients
CLHG-Avoyelles LLC CurrentSince Sep 1, 2021 Accepting new patients
CLHG-Avoyelles LLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

409 Choupique Ln
Cottonport, LA 71327
Phone (318) 240-6000

2906 Main St
Hessmer, LA 71341
Phone (318) 315-7093

1610 Water St
Lecompte, LA 71346
Phone (318) 406-8010

5541 Highway 1
Marksville, LA 71351
Phone (318) 240-7240

110 La Rue Medecine St
Marksville, LA 71351
Phone (318) 253-6564

597 Tunica Dr W
Marksville, LA 71351
Phone (318) 253-0677

4239 Highway 1192
Ste 300
Marksville, LA 71351
Phone (318) 253-0677

10542 Highway 1
Moreauville, LA 71355
Phone (318) 785-0102

Interoperability endpoints

  • Direct secure messaging: randall.laborde.1@16696.direct.athenahealth.com
  • Direct secure messaging: randy.laborde.1@30808.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1467024042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 HIGHWAY 1188",
            "city": "HESSMER",
            "state": "LA",
            "postal_code": "713414508",
            "telephone_number": "318-305-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 TUNICA DR W",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512628",
            "telephone_number": "318-253-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABORDE",
        "first_name": "RANDALL",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "221056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marksville, LA

Sources for this page

Verify at the official NPI Registry.