Alice C Blue, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP07412 Issued in LA

Practice address

800 Chinaberry Drive
Bossier City, LA 71111

Phone

(318) 349-6774

NPI assigned

Aug 15, 2013

Last updated

May 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Bossier Family Medicine, LLC

  dba First Care Bossier

  • Urgent Care Clinic/Center
  • Bossier City, LA
  • NPI 1629577895
  NPD
• Abaka LLC

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1477106524
  NPD (past)

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1477986255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CHINABERRY DRIVE",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112165",
            "telephone_number": "318-734-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CHINABERRY DRIVE",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "71111",
            "telephone_number": "318-349-6774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5390 Barksdale Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711124526",
            "country_code": "US",
            "telephone_number": "318-747-8100",
            "fax_number": "318-747-8150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUE",
        "first_name": "ALICE",
        "middle_name": "C",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2462083",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristopher Brent Blaylock, RPH
• Jaime Blazier
• Marjorie Blochousse, MD
• Earl Bloomer
• Tonconia Blow, NP
• Jenita Blue
• Abigail Davis Bogan, PA-C
• Peter Bryan Boggs, M.D.
• Shamarie Bolden
• Jackie Boling, LCSW

• Family Nurse Practitioner in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.