Northwest Louisiana Family Care, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

APO 03674 Issued in LA

Legal business name

NORTHWEST LOUISIANA FAMILY CARE, LLC

Practice address

2 Medical Plaza PL
Minden, LA 71055-3330

Phone

(318) 377-0587

NPI assigned

Jan 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Sallie Lee Bethea, CFNPNPI 1508825266

Title

Owner

Phone

(318) 377-0587

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sallie Lee Bethea, CFNP

  • Family Nurse Practitioner
  • Minden, LA
  • NPI 1508825266
  NPD (past) Authorized official

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467509232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PLAZA PL",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553330",
            "telephone_number": "318-377-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PLAZA PL",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553330",
            "telephone_number": "318-377-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST LOUISIANA FAMILY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BETHEA",
        "authorized_official_first_name": "SALLIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-377-0587",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "APO 03674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1442429",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Concept Development Center
• Nexion Health at Minden Inc
• Jessica Nguyen, PHARMD
• Joseph R. Nida, M.D.
• North Louisiana Concierge Social Work Services
• Northwest Lousiana Human Services District
• Danielle Oestreich
• Brenda Oliver, LPC
• Overton Brooks VA Med Center
• Overton Brooks Vamc

• Primary Care Clinic/Center in Minden, LA
• Providers in Minden, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.