Organization Active NPI

Lil Sprouts Pediatrics & Family Clinic LLC

  • Family Nurse Practitioner
  • West Monroe, LA
National Provider Identifier
1639617103
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LIL SPROUTS PEDIATRICS & FAMILY CLINIC LLC
Practice address
206 Bell Lane
Ste C & D
West Monroe, LA 71291-1348
Phone
(318) 310-5840
NPI assigned
Feb 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Joanie Lynn Graves, APRNNPI 1144652181
Title
Owner
Phone
(318) 310-5840

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary
Pediatric Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0200X

Addresses

Primary practice location

206 Bell Lane
Ste C & D
West Monroe, LA 71291-1348

Mailing address

206 Bell LN Ste C&D
West Monroe, LA 71291-6300
Phone (318) 310-5840

Other identifiers 1

IdentifierTypeStateIssuer
2925440MedicaidLA

Other names 1

  • Sprouts Family & Pediatric Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250929002038 LA Part B Supplier - Clinic/Group Practice 4385140490 Receives reassigned benefits from 1 practitioner
Practice locations: West Monroe, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2130178Lil' Sprouts Pediatric Clinic & Family Clinic206 Bell LN Stuie C & D, West Monroe, LA 71291Certificate of waiverMay 2, 2027

National Provider Directory

National Provider Directory

Locations

4624 Cypress St
Ste 67
West Monroe, LA 71291

206 Bell Ln
Ste Cd
West Monroe, LA 71291
Phone (318) 310-5840

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1639617103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 BELL LN STE C&D",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712916300",
            "telephone_number": "318-310-5840",
            "fax_number": "318-858-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 BELL LANE",
            "address_2": "STE C & D",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712911348",
            "telephone_number": "318-310-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIL SPROUTS PEDIATRICS & FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-05",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "JOANIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-310-5840",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2925440",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sprouts Family & Pediatric Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.