Individual provider Active NPI

Lauren Bradley, NP

  • Family Nurse Practitioner
  • Youngsville, LA
National Provider Identifier
1629336300
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0811316 Issued in LA
Practice address
732 Young St
Youngsville, LA 70592-5501
Phone
(337) 205-7777
NPI assigned
May 1, 2012
Last updated
Mar 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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 F0811316 LA Primary

Addresses

Primary practice location

732 Young St
Youngsville, LA 70592-5501

Mailing address

8951 Rue Blanc
Abbeville, LA 70510-2293
Phone (337) 658-8702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120712000857 LA Practitioner - Nurse Practitioner 1355506585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lourdes After Hours LLCGroup PAC ID 5496704553, 29 clinicians

Practice addresses (Care Compare)

1700 Kaliste Saloom Rd
Suite 101
Lafayette, LA 70508-6189
Phone (337) 981-5085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F0811316LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lourdes After Hours LLC CurrentSince May 15, 2019 Accepting new patients
Lourdes After Hours LLC CurrentSince May 15, 2019 Accepting new patients
Youngsville Health, LLC PastSince May 1, 2016 Accepting new patients
Southwest Medical Center Multi Specialty Group LLC Past Accepting new patients

Locations

3824 NE Evangeline Thruway
Carencro, LA 70520
Phone (337) 565-2675

1700 Kaliste Saloom Rd
Bldg 2
Lafayette, LA 70508
Phone (337) 534-8346

1700 Kaliste Saloom Rd
Ste 101
Lafayette, LA 70508
Phone (337) 981-5085

Interoperability endpoints

  • Direct secure messaging: lbradley4135089@direct.casso.us.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1629336300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8951 RUE BLANC",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705102293",
            "telephone_number": "337-658-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 YOUNG ST",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925501",
            "telephone_number": "337-205-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "LAUREN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-01",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "F0811316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngsville, LA

Sources for this page

Verify at the official NPI Registry.