Individual provider Active NPI

Robert Westbrook Nance Jr., FNP

  • Family Nurse Practitioner
  • Livingston, LA
National Provider Identifier
1619161932
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN 089605 APO4511 Issued in LA
Practice address
29565 Frost Rd Suite C
Livingston, LA 70754
Phone
(225) 686-1114
Fax
(225) 686-1166
NPI assigned
Aug 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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 RN 089605 APO4511 LA Primary

Addresses

Primary practice location

29565 Frost Rd Suite C
Livingston, LA 70754

Mailing address

29565 Frost Rd Suite C
Livingston, LA 70754
Phone (225) 686-1114

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

State licenses

LicenseStateTypeSpecialty
RN 089605 APO4511LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stewart Medical & Urgent Care, LLC PastSince Apr 21, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1619161932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29565 FROST RD SUITE C",
            "city": "LIVINGSTON",
            "state": "LA",
            "postal_code": "70754",
            "telephone_number": "225-686-1114",
            "fax_number": "225-686-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29565 FROST RD SUITE C",
            "city": "LIVINGSTON",
            "state": "LA",
            "postal_code": "70754",
            "telephone_number": "225-686-1114",
            "fax_number": "225-686-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANCE",
        "first_name": "ROBERT",
        "middle_name": "WESTBROOK",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN 089605 APO4511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.