Individual provider Active NPI

Lindsey Marlowe Rodgers, NP

  • Family Nurse Practitioner
  • Bossier City, LA
National Provider Identifier
1740573047
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP06299 Issued in LA
Practice address
1000 Chinaberry Dr Ste 1002
Bossier City, LA 71111-2463
Phone
(318) 562-3911
Fax
(318) 562-3921
NPI assigned
May 18, 2011
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 121136 TX
Family Nurse Practitioner 363LF0000X AP06299 LA Primary
Women's Health Nurse Practitioner 363LW0102X AP06299 LA
Women's Health Nurse Practitioner 363LW0102X AP121136 TX
Obstetrics & Gynecology Nurse Practitioner 363LX0001X AP06299 LA

Addresses

Primary practice location

1000 Chinaberry Dr Ste 1002
Bossier City, LA 71111-2463

Mailing address

1000 Chinaberry Dr Ste 1002
Bossier City, LA 71111-2463
Phone (318) 562-3911

Other practice location 1

1000 Chinaberry Dr Ste 1003
Bossier City, LA 71111-2463
Phone (318) 550-5590

Other identifiers 1

IdentifierTypeStateIssuer
2534530MedicaidLA

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
I20150224000629 LA Practitioner - Nurse Practitioner 4981870706 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
121136TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Primary Care, LLC Family CurrentSince May 15, 2021 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Sep 14, 2020 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Sep 14, 2020 Accepting new patients
New Hope Addiction Recovery, LLC Family PastSince Oct 1, 2021 Accepting new patients

Locations

1000 Chinaberry Dr
Ste 1002
Bossier City, LA 71111
Phone (318) 562-3911

1110 E Saint Peter St
New Iberia, LA 70560
Phone (337) 364-1166

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": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1740573047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CHINABERRY DR STE 1002",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112463",
            "telephone_number": "318-562-3911",
            "fax_number": "318-562-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CHINABERRY DR STE 1002",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112463",
            "telephone_number": "318-562-3911",
            "fax_number": "318-562-3921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Chinaberry Dr Ste 1003",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711112463",
            "country_code": "US",
            "telephone_number": "318-550-5590",
            "fax_number": "318-550-5489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "LINDSEY",
        "middle_name": "MARLOWE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-18",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "121136",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06299",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "LA",
            "license": "AP06299",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "AP121136",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "LA",
            "license": "AP06299",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2534530",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.