Individual provider Active NPI

Brandi Barber Stephens, FNP-C

  • Family Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1659677540
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP06859 Issued in LA
Practice address
9460 Milbank Dr
Shreveport, LA 71115-3867
Phone
(318) 658-4114
NPI assigned
Feb 10, 2011
Last updated
Nov 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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 AP06859 LA Primary

Addresses

Primary practice location

9460 Milbank Dr
Shreveport, LA 71115-3867

Mailing address

9460 Milbank Dr
Shreveport, LA 71115-3867
Phone (318) 658-4114

Other identifiers 1

IdentifierTypeStateIssuer
2317156MedicaidLA

Other names 1

  • Brandi Barber Former name

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
I20121116000188 LA Practitioner - Nurse Practitioner 7416108691 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP06859LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
David Raines Community Health Center, Inc CurrentSince Jan 8, 2024 Accepting new patients
David Raines Community Health Center, Inc Current Accepting new patients
David Raines Community Health Center, Inc. CurrentSince Jan 8, 2024 Accepting new patients
Tele Med Clinix LLC CurrentSince Aug 1, 2023 Accepting new patients
New Hope Addiction Recovery, LLC Family Past Accepting new patients
David Raines Community Health Center, Inc PastSince Jun 30, 2024 Accepting new patients
Emd Telehealth Solutions LLC PastSince Mar 1, 2023 Accepting new patients
David Raines Community Health Center, Inc. Past Accepting new patients
New Hope Addiction Recovery, LLC Past Accepting new patients
David Raines Community Health Center, Inc. PastSince Aug 15, 2021 Accepting new patients

Locations

541 N Palmetto Ave
Ste 104B
Sanford, FL 32771
Phone (321) 209-4040

1514 Doctors Dr
Bossier City, LA 71111
Phone (318) 549-2500

2401 Old Minden Rd
Bossier City, LA 71112
Phone (318) 723-7242

777 Bearkat Dr
Bossier City, LA 71111
Phone (318) 723-7242

12763 Lay St
Gilliam, LA 71029
Phone 31822733503170

12201 Mansfield Rd
Keithville, LA 71047
Phone (318) 364-2742

128 Homer Rd
Minden, LA 71055
Phone (318) 377-1545

215 Northpark Dr
Monroe, LA 71203
Phone (318) 977-9100

1625 David Raines Rd
Shreveport, LA 71107
Phone (318) 425-2252

1625 David Raines Rd
Unit 2
Shreveport, LA 71107
Phone (318) 425-2252

3021 W 70th St
Shreveport, LA 71108
Phone (318) 227-3350

3041 Dr Martin Luther King Dr
Shreveport, LA 71107
Phone (318) 227-3350

3217 Mabel St
Shreveport, LA 71103

3222 Greenwood Rd
Shreveport, LA 71109
Phone (318) 364-5170

351 Hearne Ave
Shreveport, LA 71103
Phone (318) 425-8742

401 W 70th St
Shreveport, LA 71106
Phone (318) 227-3350

4331 Henry St
Shreveport, LA 71109
Phone (318) 364-2300

441 Atlantic Ave
Shreveport, LA 71105
Phone (318) 393-7019

5904 W 70th St
Shreveport, LA 71129
Phone (318) 364-1750

7340 Wyngate Blvd
Shreveport, LA 71106
Phone (318) 687-4812

7611 Saint Vincent Ave
Shreveport, LA 71106
Phone (318) 861-1671

9360 Woolworth Rd
Shreveport, LA 71129
Phone (318) 227-3350

Interoperability endpoints

  • Direct secure messaging: brandi.stephensfnp.p1@direct.davidraineschc.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IABFCD

Organizations & group practices 11

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": "1297296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1659677540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9460 MILBANK DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711153867",
            "telephone_number": "318-658-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 MILBANK DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711153867",
            "telephone_number": "318-658-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "BRANDI",
        "middle_name": "BARBER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-10",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2317156",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "BARBER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.