Individual provider Active NPI

Pamela Reid, APRN

  • Family Nurse Practitioner
  • Bogalusa, LA
National Provider Identifier
1821701756
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
229743 Issued in LA
Practice address
15096 Sam Jackson Rd
Bogalusa, LA 70427-0624
Phone
(985) 335-7166
NPI assigned
Jan 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 115254 LA
Family Nurse Practitioner 363LF0000X 229743 LA Primary

Addresses

Primary practice location

15096 Sam Jackson Rd
Bogalusa, LA 70427-0624

Mailing address

15096 Sam Jackson Rd
Bogalusa, LA 70427-0624
Phone (985) 335-7166

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
I20230531002669 LA Practitioner - Nurse Practitioner 7012374382 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulfsouth Hospital Medicine LLCGroup PAC ID 6901151984, 14 clinicians

Practice addresses (Care Compare)

1970 N Hwy 190
Covington, LA 70433-5364
Phone (985) 867-8585

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
115254LAMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
SLR Holdings LLC Current Accepting new patients
In and Out Urgent Care of Metairie, LLC CurrentSince Jan 1, 2024 Accepting new patients
Family Health Care Clinic, Inc CurrentSince Feb 1, 2024 Accepting new patients
Nni Covington LLC CurrentSince Nov 1, 2024 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Aug 9, 2024 Accepting new patients
In and Out Urgent Care Covington, LLC CurrentSince Jan 1, 2024 Accepting new patients
Family Health Care Clinic, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Pamela Barber Reid, Aprn LLC Family CurrentSince Oct 29, 2023 Accepting new patients
Gulfsouth Hospital Medicine LLC CurrentSince Nov 1, 2024 Accepting new patients
SLR Holdings LLC Family CurrentSince Nov 1, 2024 Accepting new patients
In and Out Urgent Care, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

100 Red Cross Pl
Bogalusa, LA 70427
Phone (985) 735-1090

1970 N Highway 190
Ste C
Covington, LA 70433
Phone (985) 302-0470

716 W 21st Ave
Covington, LA 70433

13130 Highway 1085
Covington, LA 70433
Phone (985) 261-0261

1970 N Highway 190
Covington, LA 70433
Phone (985) 400-5988

925 Highway 59
Ste 400
Mandeville, LA 70448
Phone (985) 200-3307

100 N Labarre Rd
Ste C
Metairie, LA 70001
Phone (504) 827-1717

201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 582-1416

6225 S Claiborne Ave
New Orleans, LA 70125
Phone (504) 864-8080

4635 Highway 80 E
Pearl, MS 39208
Phone (601) 933-2500

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 11

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": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1821701756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15096 SAM JACKSON RD",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704270624",
            "telephone_number": "985-335-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15096 SAM JACKSON RD",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704270624",
            "telephone_number": "985-335-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "PAMELA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "LA",
            "license": "115254",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "229743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogalusa, LA

Sources for this page

Verify at the official NPI Registry.