Active NPI
Brenda Lee Hamilton
- Home Health Aide
- Shreveport, LA
National Provider Identifier
1598414898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 4609 Fitzgerald Cir
Shreveport, LA 71109-6916 - Phone
- (318) 678-3885
- NPI assigned
- Mar 22, 2022
- Last updated
- Mar 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | LA | Primary |
Addresses
Primary practice location
4609 Fitzgerald Cir
Shreveport, LA 71109-6916
Mailing address
304 Main St
Logansport, LA 71049-2914
Phone (318) 906-5054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647907200000",
"number": "1598414898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 MAIN ST",
"city": "LOGANSPORT",
"state": "LA",
"postal_code": "710492914",
"telephone_number": "318-906-5054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4609 FITZGERALD CIR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711096916",
"telephone_number": "318-678-3885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "BRENDA",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-22",
"last_updated": "2022-03-22",
"certification_date": "2022-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.