Individual provider Active NPI

Marquitta Lashun Brown, APRN

  • Family Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1669844775
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09301 Issued in LA
Practice address
850 Olive St Ste a
Shreveport, LA 71104-2162
Phone
(318) 239-4860
Fax
(805) 295-4715
NPI assigned
Oct 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP128905 TX
Family Nurse Practitioner 363LF0000X AP09301 LA Primary

Addresses

Primary practice location

850 Olive St Ste a
Shreveport, LA 71104-2162

Mailing address

PO Box 4506
Shreveport, LA 71134-0506
Phone (318) 239-4860

Other practice location 1

10600 Industrial Dr
Minden, LA 71055-5105
Phone (318) 239-4860

Other practice location 2

4278 University Pkwy Ste 5
Natchitoches, LA 71457-1906
Phone (318) 239-4860

Other identifiers 1

IdentifierTypeStateIssuer
2566971MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170828002380 TX Practitioner - Nurse Practitioner 1658643523 Reassigns benefits to 1 organization
I20210820001286 LA Practitioner - Nurse Practitioner 1658643523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Bird Perkins Cancer CenterGroup PAC ID 4385646280, 95 clinicians

Practice addresses (Care Compare)

106000 Industrial Dr
Minden, LA 71055-5105
Phone (318) 239-4860

3516 N Blvd
Suite B
Alexandria, LA 71301-3674
Phone (318) 239-4860

4950 Essen LN
Baton Rouge, LA 70809-3738
Phone (225) 767-0847

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health Medical Group LLC Nurse Practitioner CurrentSince Sep 5, 2017 Accepting new patients
Capitol City Family Health Center, Incorporated CurrentSince Nov 25, 2024 Accepting new patients
Capitol City Family Health Center Incorporated Current Accepting new patients
Mary Bird Perkins Cancer Center CurrentSince Apr 1, 2024 Accepting new patients
Capitol City Family Health Center, Incorporated CurrentSince Nov 25, 2024 Accepting new patients

Locations

3140 Florida St
Baton Rouge, LA 70806
Phone (225) 650-2000

904 Catalpa St
Donaldsonville, LA 70346
Phone (225) 264-6800

10600 Industrial Dr
Minden, LA 71055
Phone (318) 469-8388

4278 University Pkwy
Ste 4
Natchitoches, LA 71457
Phone (318) 581-4003

850 Olive St
Ste A
Shreveport, LA 71104
Phone (318) 222-3662

740 Jordan St
Shreveport, LA 71101
Phone (318) 424-9240

4950 Essen Ln
St George, LA 70809
Phone (225) 767-0847

1700 Onion Creek Pkwy
Austin, TX 78748
Phone (512) 291-4900

8911 N Capital of Texas Hwy
Ste 1110
Austin, TX 78759
Phone (515) 238-2826

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1669844775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4506",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711340506",
            "telephone_number": "318-239-4860",
            "fax_number": "805-295-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 OLIVE ST STE A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042162",
            "telephone_number": "318-239-4860",
            "fax_number": "805-295-4715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10600 Industrial Dr",
            "address_purpose": "LOCATION",
            "city": "Minden",
            "state": "LA",
            "postal_code": "710555105",
            "country_code": "US",
            "telephone_number": "318-239-4860",
            "fax_number": "805-295-4715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4278 University Pkwy Ste 5",
            "address_purpose": "LOCATION",
            "city": "Natchitoches",
            "state": "LA",
            "postal_code": "714571906",
            "country_code": "US",
            "telephone_number": "318-239-4860",
            "fax_number": "805-295-4715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARQUITTA",
        "middle_name": "LASHUN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128905",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2566971",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.