BRITTANY D FORTIE (NPI# 1396111480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396111480 |
| Entity Type | Individual |
| Full Name | BRITTANY D FORTIE |
| Credential | FNP-C |
| Practice Address |
3983 I 49 S Service Rd Ste 101 Opelousas LA 70570-0758 |
| Mailing Address |
1836 Maringouin Rd E Maringouin LA 70757-5312 |
| Practice Telephone | 3379421126 |
| Mailing Telephone | 2257181052 |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2018-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP08491 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2407961 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1836 Maringouin Rd E, Maringouin, LA 707575312 | 2257181052 |
| Street Address |
3983 I 49 S SERVICE RD STE 101 |
| City | OPELOUSAS |
| State | LA |
| Zip Code | 70570-0758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821608282 | Dream Angels Agency | Home Health | 356 Country Ridge Rd., 21, Opelousas, LA 70570 | 2020-07-31 |
| 1588286389 | Kasey Dunn | Nurse Practitioner | 3983 Interstate-49 South Service Rd., Suite 103, Opelousas, LA 70570 | 2020-05-14 |
| 1538704010 | Southern Family Medicine, LLC | Nurse Practitioner | 10818 Hwy. 190, Opelousas, LA 70570 | 2019-11-08 |
| 1952952061 | Check Point Urgent Care | Clinic/Center | 2331 S Union Street, Opelousas, LA 70570 | 2019-09-20 |
| 1639734015 | Southern Pharmacy LLC | Pharmacy | 3939 I-49 South Service Rd., Opelousas, LA 70570 | 2019-05-01 |
| 1245708452 | Anthony Ray Parker Jr. | Case Manager/Care Coordinator | 208 Ballard Loop, Opelousas, LA 70570 | 2018-11-06 |
| 1306329511 | Katherine D Trahan | Pharmacy | 3935 I-49 South Service Rd, Opelousas, LA 70570 | 2018-09-13 |
| 1548752942 | Justin Y Auzenne | Driver | 230 Lemelle St, Opelousas, LA 70570 | 2018-05-31 |
| 1063920650 | Laykin Bellard | Nurse Practitioner | 3975 I-49 Frontage Rd, Suite 201, Opelousas, LA 70570 | 2018-01-17 |
| 1124535562 | Lisa M Miller | Counselor | 1211 Austin Rd, Opelousas, LA 70570 | 2018-01-08 |
| Find all providers in zip 70570 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286389 | Kasey Dunn | Nurse Practitioner | 3983 Interstate-49 South Service Rd., Suite 103, Opelousas, LA 70570 | 2020-05-14 |
| 1538704010 | Southern Family Medicine, LLC | Nurse Practitioner | 10818 Hwy. 190, Opelousas, LA 70570 | 2019-11-08 |
| 1699253401 | Racquel Ravare Gradney | Nurse Practitioner | 1270 Attakapas Dr Ste 501, Opelousas, LA 70570-6530 | 2018-08-02 |
| 1548751415 | Caroline Stagg | Nurse Practitioner | 1200 Hospital Dr Ste 4, Opelousas, LA 70570-6552 | 2018-05-25 |
| 1063920650 | Laykin Bellard | Nurse Practitioner | 3975 I-49 Frontage Rd, Suite 201, Opelousas, LA 70570 | 2018-01-17 |
| 1730601915 | Sondra Cummings | Nurse Practitioner | 548 Country Ridge Rd Trlr 160, Opelousas, LA 70570-1678 | 2017-07-10 |
| 1396198131 | Francine S Poole | Nurse Practitioner | 242 W Grolee St, Opelousas, LA 70570-5222 | 2016-07-17 |
| 1790169928 | Brenda Proctor | Nurse Practitioner | 3975 I-49 Frontage Road, Suite 105, Opelousas, LA 70570-9999 | 2015-07-17 |
| 1306269329 | Felicia Joseph | Nurse Practitioner | 1200 Hospital Dr Ste 5, Opelousas, LA 70570-6552 | 2014-01-27 |
| 1013344274 | Shawanna Marie Guillory | Nurse Practitioner | 177 Petite Rue De Landon Ste A, Opelousas, LA 70570-4798 | 2013-10-03 |
| Find all providers in OPELOUSAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.