Individual provider Active NPI

Racquel Ravare Gradney, FNP

  • Family Nurse Practitioner
  • Opelousas, LA
National Provider Identifier
1699253401
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10078 Issued in LA
Practice address
1270 Attakapas Dr Ste 501
Opelousas, LA 70570-6530
Phone
(337) 942-9977
NPI assigned
Aug 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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 AP10078 LA Primary

Addresses

Primary practice location

1270 Attakapas Dr Ste 501
Opelousas, LA 70570-6530

Mailing address

PO Box 2118
Opelousas, LA 70571-2118
Phone (337) 594-3499

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
I20180830001531 LA Practitioner - Nurse Practitioner 4880944529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Opelousas General Health System Physician PracticesGroup PAC ID 9830340694, 62 clinicians

Practice addresses (Care Compare)

138 Lazaro Blvd
Suite a
Opelousas, LA 70570-9115
Phone (337) 942-5700

Hospital & facility affiliations

  • Allegiance Home Health of South Louisiana Home health agency, Eunice, LA, CCN 197890
  • St Landry Homecare Home health agency, Opelousas, LA, CCN 197136
  • Allegiance Home Health of East Central Louisiana Home health agency, Ville Platte, LA, CCN 197199
  • Opelousas General Health System Hospital, Opelousas, LA, CCN 190017
  • Acadian Medical Center Hospital, Eunice, LA, CCN 190318

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Opelousas General Health System CurrentSince Aug 1, 2018 Accepting new patients
Opelousas General Health System Physician Practices CurrentSince Aug 1, 2018 Accepting new patients
Opelousas General Hospital Authority Past Accepting new patients
Opelousas General Health System Physician Practices Past Accepting new patients

Locations

109 Wallace Broussard Rd
Ste 300
Carencro, LA 70520
Phone (337) 896-9355

3975 I 49 S Service Rd
Ste 105
Opelousas, LA 70570
Phone (337) 597-0750

1233 Wayne Gilmore Cir
Ste 250B
Opelousas, LA 70570
Phone (337) 407-1955

3975 I 49 S Service Rd
Ste 200
Opelousas, LA 70570
Phone (337) 594-0750

138 Lazaro Blvd
Ste A
Opelousas, LA 70570
Phone (337) 447-4025

1270 Attakapas Dr
Ste 502
Opelousas, LA 70570
Phone (337) 942-9977

1270 Attakapas Dr
Ste 501
Opelousas, LA 70570
Phone (337) 942-1151

1200 Hospital Dr
Ste 5
Opelousas, LA 70570
Phone (337) 678-4285

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 and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1699253401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2118",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705712118",
            "telephone_number": "337-594-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 ATTAKAPAS DR STE 501",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706530",
            "telephone_number": "337-942-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADNEY",
        "first_name": "RACQUEL",
        "middle_name": "RAVARE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP10078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.