Individual provider Active NPI

Rosalie E Richard, APRN BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Abita Springs, LA
National Provider Identifier
1770675993
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP04081 Issued in LA
Practice address
70420 Eike St
Abita Springs, LA 70420-3056
Phone
(337) 643-8424
Fax
(337) 643-8407
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP04081 LA Primary

Addresses

Primary practice location

70420 Eike St
Abita Springs, LA 70420-3056

Mailing address

70204 Eike St
Abita Springs, LA 70420-3056
Phone (337) 643-8424

Other identifiers 1

IdentifierTypeStateIssuer
1143324MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040730000177 LA Practitioner - Nurse Practitioner 1557331162 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf South Psychiatry, LLC CurrentSince Sep 1, 2018 Accepting new patients
Bayou State Group, Inc Past Accepting new patients
Lashekia Toussaint Psychiatric/Mental Health PastSince May 3, 2020 Accepting new patients
Neuropsychiatry Services LLC Past Accepting new patients
Maringouin Medical Center, LLC Past Accepting new patients
Crossroads Medical Consultants LLC Past Accepting new patients

Locations

4040 North Blvd
Baton Rouge, LA 70806
Phone (225) 300-8470

201 Greenbrier Blvd
Covington, LA 70433
Phone (866) 652-3940

14500 Hayne Blvd
Ste 200
New Orleans, LA 70128
Phone (504) 210-0460

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1770675993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70204 EIKE ST",
            "city": "ABITA SPRINGS",
            "state": "LA",
            "postal_code": "704203056",
            "telephone_number": "337-643-8424",
            "fax_number": "337-643-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70420 EIKE ST",
            "city": "ABITA SPRINGS",
            "state": "LA",
            "postal_code": "704203056",
            "telephone_number": "337-643-8424",
            "fax_number": "337-643-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "ROSALIE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "APRN BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP04081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1143324",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abita Springs, LA

Sources for this page

Verify at the official NPI Registry.