Overton Brooks Vamc

Primary specialty

Military General Acute Care HospitalTaxonomy code 2865M2000X

License

006290999 Issued in LA

Legal business name

OVERTON BROOKS VAMC

Practice address

200 Hartwell Rd
Minden, LA 71055-6365

Phone

(318) 707-5088

NPI assigned

Mar 2, 2016

Last updated

Mar 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lakishia Lewis Grider, N.P.NPI 1225292576

Title

Acute Care Nurse Practitioner

Phone

(318) 221-8411

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lakishia Lewis Grider, NP

  • Acute Care Nurse Practitioner
  • Shreveport, LA
  • NPI 1225292576
  Authorized official Same address or phone

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1568822658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HARTWELL ROAD",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "71055",
            "telephone_number": "318-707-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HARTWELL RD",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710556365",
            "telephone_number": "318-707-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERTON BROOKS VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "GRIDER",
        "authorized_official_first_name": "LAKISHIA",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "ACUTE CARE NURSE PRACTITIONER",
        "authorized_official_telephone_number": "318-221-8411",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": "LA",
            "license": "006290999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Louisiana Family Care, LLC
• Northwest Lousiana Human Services District (Minden Behavioral Health Clinic)
• Danielle Oestreich
• Brenda Oliver, LPC
• Overton Brooks VA Med Center
• Yolanda Palmer
• Tiffany Armond Parker, PA
• Passages Hospice North - Central, LLC (Passages Hospice)
• Domonique Patterson, RSW
• Ellen A Patton, MA, PLPC

• Military Hospital in Minden, LA
• Providers in Minden, LA by specialty
• Military Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.