Active NPI
Brittany Young Bullock, FNP
- Family Nurse Practitioner
- Hammond, LA
National Provider Identifier
1760129985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 224317
- Practice address
- 19065 Dr John Lambert Dr
Hammond, LA 70403-0997 - Phone
- (985) 892-8934
- NPI assigned
- May 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 224317 | LA | Primary |
Addresses
Primary practice location
19065 Dr John Lambert Dr
Hammond, LA 70403-0997
Mailing address
19065 Dr John Lambert Dr
Hammond, LA 70403-0997
Phone (985) 892-8934
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 224317 | Other | LA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of the Lake Physician Group LLC | Past | Accepting new patients |
Interoperability endpoints
- byoung37214@direct.casso.us.com
Organizations & group practices 1
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.
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- NPI 1184671455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784332800000",
"number": "1760129985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19065 DR JOHN LAMBERT DR",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704030997",
"telephone_number": "985-892-8934",
"fax_number": "986-892-8937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19065 DR JOHN LAMBERT DR",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704030997",
"telephone_number": "985-892-8934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULLOCK",
"first_name": "BRITTANY",
"middle_name": "YOUNG",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-18",
"last_updated": "2026-07-18",
"certification_date": "2026-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "224317",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "224317",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.