Active NPI
Premier Integrative Wellness LLC
- Psychiatric/Mental Health Nurse Practitioner
- Shreveport, LA
National Provider Identifier
1831076819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- PREMIER INTEGRATIVE WELLNESS LLC
- Practice address
- 839 Kings Hwy Ste 125
Shreveport, LA 71104-4258 - Phone
- (318) 272-4180
- Fax
- (318) 228-2054
- NPI assigned
- Aug 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandi Ratliff, APRN FNP-BC, PMHNP-B
- Title
- Nurse Practitioner/Owner
- Phone
- (318) 272-4180
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary | ||
| Primary Care Nurse Practitioner | 363LP2300X |
Addresses
Primary practice location
839 Kings Hwy Ste 125
Shreveport, LA 71104-4258
Mailing address
839 Kings Hwy Ste 125
Shreveport, LA 71104-4258
Phone (318) 272-4180
Other names 1
- Premier Integrative Wellness
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755734400000",
"number": "1831076819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "839 KINGS HWY STE 125",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711044258",
"telephone_number": "318-272-4180",
"fax_number": "318-228-2054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "839 KINGS HWY STE 125",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711044258",
"telephone_number": "318-272-4180",
"fax_number": "318-228-2054"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER INTEGRATIVE WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-20",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A",
"authorized_official_last_name": "RATLIFF",
"authorized_official_first_name": "BRANDI",
"authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
"authorized_official_telephone_number": "318-272-4180",
"authorized_official_credential": "APRN FNP-BC, PMHNP-B"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Premier Integrative Wellness",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Premier Integrative Wellness",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.