ALEX MARIE BOUDREAUX (NPI# 1548869647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548869647 |
| Entity Type | Individual |
| Full Name | ALEX MARIE BOUDREAUX |
| Credential | AUD |
| Practice Address |
2390 W Congress St Lafayette LA 70506-4205 |
| Practice Telephone | 3372616424 |
| Mailing Telephone | 3372616424 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 8651 | LA | Speech, Language and Hearing Service Providers |
| Street Address |
2390 W CONGRESS ST |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568468353 | Tina Marie Boudreaux | Nurse Practitioner | 2390 W Congress St, Lafayette, LA 70506-4205 | 2005-06-26 |
| 1265042782 | University Hospital & Clinics, Inc. | Clinic/Center | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-08-10 |
| 1619599479 | Angela Leblanc | Pharmacist | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-05-14 |
| 1366064388 | Suzette Bonneval | Pharmacist | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-05-13 |
| 1134757032 | Jacob Michael Clement | Student in an Organized Health Care Education/Training Program | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-03-28 |
| 1902433535 | De'angellica Vaughn-allen | Student in an Organized Health Care Education/Training Program | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-03-24 |
| 1891322665 | Joseph Gohres Prechter Jr. | Student in an Organized Health Care Education/Training Program | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-03-23 |
| 1861028904 | Christopher Chedid | Student in an Organized Health Care Education/Training Program | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-03-20 |
| 1750917712 | Priscilla Tutu | Student in an Organized Health Care Education/Training Program | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-03-20 |
| 1205476835 | Faye W Bryant | Nurse Practitioner | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-01-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
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| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154842300 | Calli Cabrini Dugas | Audiologist | 4630 Ambassador Caffery Pkwy Ste 402, Lafayette, LA 70508-6950 | 2017-06-28 |
| 1609268895 | Martin John Audiffred | Audiologist | 249 N College Rd, Lafayette, LA 70506-4230 | 2015-02-24 |
| 1235425000 | Maegan Guilbeau | Audiologist | 220 W Willow St, Bldg. A, Lafayette, LA 70501-2837 | 2011-06-21 |
| 1417279472 | Mtc of Indiana, Ltd. | Audiologist | 823 Park East Blvd, Lafayette, IN 47905-0787 | 2010-02-18 |
| 1952567273 | Amy Davis Poolson | Audiologist | 4630 Ambassador Caffery Parkway, Bldg., A, Suite 402, Lafayette, LA 70508-6949 | 2008-08-06 |
| 1679745301 | Valarie Kay Darr | Audiologist | 5000 Ambassador Caffrey Pkwy, Building 3, Lafayette, LA 70508 | 2008-04-02 |
| 1932377264 | Naomi Pontiff Theriot | Audiologist | 110 Exchange Place, Suite 100, Lafayette, LA 70503-2580 | 2008-02-20 |
| 1447432802 | Susan M. Taulia | Audiologist | 823 Park East Blvd # H, Lafayette, IN 47905-0787 | 2007-11-28 |
| 1255511929 | Audiology Associates of Acadiana | Audiologist | 110 Exchange Pl, Suite 100, Lafayette, LA 70503-2510 | 2007-11-09 |
| 1265574404 | Judith Marquess Olson | Audiologist | 750 Park East Blvd Ste 3, Lafayette, IN 47905 | 2007-02-13 |
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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.