Individual provider Active NPI

Robyn Rachelle Givens, N. P.

  • Nurse Practitioner
  • Slidell, LA
National Provider Identifier
1730415183
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN108989-AP05968 Issued in LA
Practice address
1570 Lindberg Drive
Suite 10
Slidell, LA 70458
Phone
(985) 326-8614
Fax
(985) 445-1603
NPI assigned
Oct 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN108989-AP05968 LA Primary

Addresses

Primary practice location

1570 Lindberg Drive
Suite 10
Slidell, LA 70458

Mailing address

1570 Lindberg Dr
Suite 10
Slidell, LA 70458-8083
Phone (985) 326-8614

Other identifiers 2

IdentifierTypeStateIssuer
2110683MedicaidLA
05158821MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN108989-AP05968LAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1730415183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 LINDBERG DR",
            "address_2": "SUITE 10",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588083",
            "telephone_number": "985-326-8614",
            "fax_number": "985-445-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 LINDBERG DRIVE",
            "address_2": "SUITE 10",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70458",
            "telephone_number": "985-326-8614",
            "fax_number": "985-445-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIVENS",
        "first_name": "ROBYN",
        "middle_name": "RACHELLE",
        "credential": "N. P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "RN108989-AP05968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2110683",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05158821",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.