Individual provider Active NPI

Larry Wayne Rachal Jr., NP

  • Family Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1659719664
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TAP003082 Issued in LA
Practice address
221 Windermere Blvd
Alexandria, LA 71303-3538
Phone
(318) 443-9773
Fax
(318) 443-9799
NPI assigned
Jun 12, 2013
Last updated
Mar 27, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 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 TAP003082 LA Primary

Addresses

Primary practice location

221 Windermere Blvd
Alexandria, LA 71303-3538

Mailing address

221 Windermere Blvd
Alexandria, LA 71303-3538
Phone (318) 443-9773

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
I20131010001359 LA Practitioner - Nurse Practitioner 6002040821 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Red River Associates LLCGroup PAC ID 2668527169, 11 clinicians
Alexandria Healthcare Consultants, LLCGroup PAC ID 5597081711, 10 clinicians

Practice addresses (Care Compare)

221 Windermere Blvd
Red River ENT Associates LLC
Alexandria, LA 71303-3538
Phone (318) 443-9773

44 Versailles Blvd
Alexandria, LA 71303-3960
Phone (318) 445-5111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TAP003082LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandria Healthcare Consultants, LLC CurrentSince Nov 1, 2022 Accepting new patients
Red River Associates LLC CurrentSince Jan 1, 2019 Accepting new patients
Paul a Guillory MD a Professional Medical Corporation Past Accepting new patients
J a Badeaux III MD a Professional Medical Corporation Past Accepting new patients

Locations

221 Windermere Blvd
Alexandria, LA 71303
Phone (318) 427-3300

44 Versailles Blvd
Alexandria, LA 71303
Phone (318) 441-0068

118 South Dr
Natchitoches, LA 71457
Phone (318) 352-0444

Interoperability endpoints

  • Direct secure messaging: larry.rachal@rre.eclinicaldirectplus.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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427414400000",
    "number": "1659719664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 WINDERMERE BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033538",
            "telephone_number": "318-443-9773",
            "fax_number": "318-443-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 WINDERMERE BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033538",
            "telephone_number": "318-443-9773",
            "fax_number": "318-443-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACHAL",
        "first_name": "LARRY",
        "middle_name": "WAYNE",
        "name_suffix": "Jr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2015-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "TAP003082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.