Individual provider Active NPI

Brittany M'Liss Sibille, CNP

  • Family Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1942935200
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
226790 Issued in LA
Practice address
4906 Ambassador Caffery Pkwy BLDG B
Lafayette, LA 70508-6962
Phone
(337) 349-5931
NPI assigned
Jul 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 226790 LA Primary

Addresses

Primary practice location

4906 Ambassador Caffery Pkwy BLDG B
Lafayette, LA 70508-6962

Mailing address

243 Chimney Rock Blvd
Lafayette, LA 70508-8065
Phone (337) 349-5931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
226790LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Drip IV Lounge & Aesthetics LLC Current Accepting new patients

Organizations & group practices 1

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": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1942935200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 CHIMNEY ROCK BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088065",
            "telephone_number": "337-349-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 AMBASSADOR CAFFERY PKWY BLDG B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086962",
            "telephone_number": "337-349-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBILLE",
        "first_name": "BRITTANY",
        "middle_name": "M'LISS",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "226790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.