MRS. CASEY DUFRENE PECH (NPI# 1417262361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417262361 |
| Entity Type | Individual |
| Full Name | MRS. CASEY DUFRENE PECH |
| Credential | FNP-C |
| Practice Address |
406 N Acadia Rd Thibodaux LA 70301-4856 |
| Mailing Address |
1216 N Victor II Blvd Ste 100 Morgan City LA 70380-1392 |
| Practice Telephone | 8594462890 |
| Practice Fax Number | 9854462189 |
| Mailing Telephone | 9857022229 |
| Mailing Fax Number | 9853840329 |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2020-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
RN084493 AP06207 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2129783 | 05 |
| Street Address |
406 N ACADIA RD |
| City | THIBODAUX |
| State | LA |
| Zip Code | 70301-4856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003862038 | Dsi Renal Inc | Clinic/Center | 406 N Acadia Rd, Thibodaux, LA 70301-4856 | 2006-05-25 |
| 1992125355 | Johnathan Lloyd Wise | Obstetrics & Gynecology | 406 N Acadia Rd, Thibodaux, LA 70301-4856 | 2014-04-23 |
| 1235572355 | Rhandi A Wise | Obstetrics & Gynecology | 406 N Acadia Rd, Thibodaux, LA 70301 | 2013-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539620 | Micah Aaron Callais | Nurse Practitioner | 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 | 2018-02-22 |
| 1982112348 | Katie Leblanc | Massage Therapist | 1115 St. Mary Street, Thibodaux, LA 70301 | 2018-01-18 |
| 1154837391 | Texas Digestive Disease Consultants, Pllc | Internal Medicine | 764 North Acadia Road, Suite A, Thibodaux, LA 70301 | 2017-12-26 |
| 1235648239 | Speech and Feeding Therapy, LLC | Speech-Language Pathologist | 1000 Plantation Rd Ste 1a, Thibodaux, LA 70301 | 2017-09-22 |
| 1285150466 | Tara Payne | Counselor | 303 Hickory Street, Thibodaux, LA 70301 | 2017-08-18 |
| 1427583475 | Tyler Pettigrew | Counselor | 300 Plantation Rd., Apt #24, Thibodaux, LA 70301 | 2017-04-27 |
| 1750825758 | Jessica Barquet | Counselor | 110 Palm Villa Dr Apt 1, Thibodaux, LA 70301 | 2016-12-09 |
| 1013468230 | Shenee Haas Gros | Counselor | 504 Cherry St., Thibodaux, LA 70301 | 2016-10-24 |
| 1982155388 | Southern Ent Associates Inc | Audiologist | 604 North Acadia Road Suite 101, Thibodaux, LA 70301 | 2016-10-20 |
| 1215483888 | Lesheeca Norman, Lpc | Counselor | 306 Victoria Court, Thibodaux, LA 70301 | 2016-09-01 |
| Find all providers in zip 70301 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073165940 | Autumn Lynne Laffitte | Nurse Practitioner | 1455 E Bert Kouns Industrial Loop # 308, Shreveport, LA 71105-6000 | 2019-07-11 |
| 1487018032 | Natalie Marie Stubbs | Nurse Practitioner | 4429 Clara St Ste 500, New Orleans, LA 70115-6950 | 2016-04-11 |
| 1548678188 | Joanna Poole | Nurse Practitioner | 2120 Bert Kouns Industrial Loop Ste A, Shreveport, LA 71118-3351 | 2014-07-28 |
| 1730590712 | Stacy Davis | Nurse Practitioner | 71380 Highway 21 Ste 101, Covington, LA 70433-7245 | 2014-05-13 |
| 1245673565 | Tresa C Wallace | Nurse Practitioner | 110 Bellemeade Blvd., Suite A, Gretna, LA 70056-2954 | 2013-04-17 |
| 1942433438 | Rebecca Reason Breaux | Nurse Practitioner | 180 Infirmary Rd, Baton Rouge, LA 70803-0001 | 2009-08-31 |
| 1275672909 | Patsy H Mcclanahan | Nurse Practitioner | 3326 Front St Ste B, Winnsboro, LA 71295-6487 | 2007-02-06 |
| 1164515169 | Jennifer Allen Long | Nurse Practitioner | 2400 Hospital Dr Ste 400, Bossier City, LA 71111-2401 | 2006-10-02 |
| 1841615127 | Leslie Stovall | Nurse Practitioner | 2449 Hospital Dr, Suite 260, Bossier City, LA 71111-2399 | 2014-02-24 |
| 1265752778 | Brooke Bailey Stokes | Nurse Practitioner | 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 | 2010-06-07 |
| Find all providers with the same taxonomy | ||||
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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.