Individual provider Active NPI

Robyn Briscoe Dowdle, NP

  • Gerontology Nurse Practitioner
  • Deridder, LA
National Provider Identifier
1871046128
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP08929 Issued in LA
Practice address
501 S Pine St
Deridder, LA 70634-4939
Phone
(337) 463-9890
Fax
(337) 462-9521
NPI assigned
Aug 3, 2016
Last updated
Oct 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP08929 LA
Gerontology Nurse Practitioner 363LG0600X AP08929 LA Primary

Addresses

Primary practice location

501 S Pine St
Deridder, LA 70634-4939

Mailing address

PO Box 730
Deridder, LA 70634-0730
Phone (337) 463-9890

Other identifiers 1

IdentifierTypeStateIssuer
2502697MedicaidLA

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
I20170428001181 LA Practitioner - Nurse Practitioner 8022395003 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Carlock Enterprises LLCGroup PAC ID 3476707514, 5 clinicians
Physical Therapy Services of West Louisiana IncGroup PAC ID 0446388763, 92 clinicians

Practice addresses (Care Compare)

1100 Nolan Trce
Carlock Family Medical Clinic
Leesville, LA 71446-3838
Phone (337) 238-5180

301 W Fertitta Blvd
Suite 4
Leesville, LA 71446-4665
Phone (337) 238-9931

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carlock Enterprises LLC CurrentSince Nov 4, 2019 Accepting new patients
Carlock Enterprises LLC Nurse Practitioner CurrentSince May 25, 2025 Accepting new patients
Deer Creek Medical Center CurrentSince Mar 20, 2017 Accepting new patients
Deer Creek Imaging Center PastSince Mar 20, 2017 Accepting new patients

Locations

1100 Nolan Trce
Leesville, LA 71446
Phone (337) 238-5180

301 W Fertitta Blvd
Ste 1
Leesville, LA 71446
Phone (337) 238-0167

2778 Highway 121
Ste A
Otis, LA 71466
Phone (318) 793-5020

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1871046128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706340730",
            "telephone_number": "337-463-9890",
            "fax_number": "337-462-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S PINE ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344939",
            "telephone_number": "337-463-9890",
            "fax_number": "337-462-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWDLE",
        "first_name": "ROBYN",
        "middle_name": "BRISCOE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08929",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "LA",
            "license": "AP08929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2502697",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deridder, LA

Sources for this page

Verify at the official NPI Registry.