Lasidra Brabson

Primary specialty

Occupational Health Nurse PractitionerTaxonomy code 363LX0106X

License

217398 Issued in GA

Practice address

1580 Boggs Rd Ste 700
Duluth, GA 30096-9097

Phone

(678) 751-5980

NPI assigned

Apr 18, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Medical Director Services PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Princess Anne, MD
  • NPI 1871955807

  GA

  Medicare reassignment NPD
• Regenerative Wound Solutions PC

  • Wound Care Registered Nurse
  • Bronx, NY
  • NPI 1730928235

  GA

  Medicare reassignment NPD

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1841987294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 SPRING PLACE CT",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300525291",
            "telephone_number": "678-751-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 BOGGS RD STE 700",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300969097",
            "telephone_number": "678-751-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRABSON",
        "first_name": "LASIDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "GA",
            "license": "217398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie E Boyd, APRN, WHNP-BC
• Divonia Boyd
• Laurilyn D Boyd, CNP
• Boyle and Toth Family Medicine, L.L.C.
• David Robert Braatz, M.S.
• Jennifer Elaine Bradberry, ATC
• Del-Landria Bradley, SLP
• Rebecca Bradley
• Brainscience Recovery.Works
• Meghan Branche

• Occupational Health Nurse Practitioner in Duluth, GA
• Providers in Duluth, GA by specialty
• Occupational Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.