Brealon Michael Lirette, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP09510 Issued in LA

Practice address

5599 Highway 311
Houma, LA 70360-2866

Phone

(985) 857-3615

NPI assigned

Jul 20, 2017

Last updated

Jul 20, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Brealon Michael Lirette Professional name

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Brealon Lirette LLC

  • Psychiatric/Mental Health Registered Nurse
  • Houma, LA
  • NPI 1578046090
  Medicare reassignment Authorized official
• Mohammad K Anwar MD, LLC

  • Psychiatry Physician
  • Kenner, LA
  • NPI 1124698048
  Medicare reassignment NPD
• Psychiatric Specialists Apmc

  • Psychiatry Physician
  • Kenner, LA
  • NPI 1326520362
  Medicare reassignment NPD
• Southern Psychiatric & Medical Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Houma, LA
  • NPI 1265267819
  NPD (past) Authorized official

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

• Our Lady of the Lake Hospital Inc.

  dba Our Lady of the Lake Regional Medical Center

  • General Acute Care Hospital
  • Baton Rouge, LA
  • NPI 1366436123
  Care Compare affiliation

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500508800000",
    "number": "1710400833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 WOODWIND DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5599 HIGHWAY 311",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602866",
            "telephone_number": "985-857-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIRETTE",
        "first_name": "BREALON",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-20",
        "last_updated": "2017-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP09510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREALON",
            "last_name": "LIRETTE",
            "middle_name": "MICHAEL",
            "prefix": "MR.",
            "credential": "PMHNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Hector A Linares-Magana, MD
• Lincare Inc (PS Homecare)
• Alaina Aimee Lirette
• Alexis Lirette
• Brandy Lynn Lirette
• Christina Marie Lirette, PMHNP
• Courtney Boudet Lirette, MCD, CCC-SLP
• Jackie Ann Lirette, M.S., CCC-SLP
• Sandi Lirette, M.A., PLPC
• Spring Lirette

• Psychiatric/Mental Health Nurse Practitioner in Houma, LA
• Providers in Houma, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.