MR. WYATT DANIEL BREAUX (NPI# 1629542436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629542436 |
| Entity Type | Individual |
| Full Name | MR. WYATT DANIEL BREAUX |
| Practice Address |
1510 Sellers Rd Rayne LA 70578-2628 |
| Practice Telephone | 3376586511 |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1510 SELLERS RD |
| City | RAYNE |
| State | LA |
| Zip Code | 70578-2628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396219101 | Arc of Acadiana, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1601 East B North St, Rayne, LA 70578 | 2019-01-15 |
| 1659881274 | Brittany Guidry | Case Manager/Care Coordinator | 421 Elizabeth Dr, Rayne, LA 70578 | 2017-10-10 |
| 1154685857 | Nucleonics of Acadiana, LLC | Clinic/Center | 131 N. Roclay Dr., Lafayette, LA 70578 | 2012-06-27 |
| 1427216290 | Patrick Daniel Briese | Dentist | 1143 Church Point Hwy, Rayne, LA 70578 | 2008-05-29 |
| 1346410172 | Phoenix Behavioral Hospital of Eunice, LLC | Psychiatric Hospital | 2021 Crowley Rayne Hwy, Rayne, LA 70578 | 2008-03-07 |
| 1053513218 | Jennifer Marie Istre | Counselor | 104 E. Edwards, Rayne, LA 70578 | 2007-06-01 |
| 1851341051 | Louisiana Guest House LLC | Skilled Nursing Facility | 2021 Crowley Rayne Highway, Rayne, LA 70578 | 2006-05-11 |
| 1720219157 | Patrick D. Briese, Dds, LLC | Clinic/Center | 1143 Church Point Hwy, Rayne, LA 70578 | 2009-08-03 |
| 1831691542 | Rachel E Mouton | Local Education Agency (LEA) | 302 Country Lakes Trl, Rayne, LA 70578-2662 | 2018-03-08 |
| 1043743107 | Millerson Wilridge | Counselor | 504 Crandall Ave, Rayne, LA 70578-3614 | 2017-04-06 |
| Find all providers in zip 70578 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202859 | Kevin Giang | Student in an Organized Health Care Education/Training Program | 3813 13th St, Harvey, LA 70058-2446 | 2020-10-13 |
| 1316553514 | Tranekka Randle | Student in an Organized Health Care Education/Training Program | 1919 W Homestead Dr, New Orleans, LA 70114-3388 | 2020-09-22 |
| 1811509748 | Mary Newell | Student in an Organized Health Care Education/Training Program | 406 Morgan St, Madisonville, LA 70447-9461 | 2020-08-21 |
| 1356953160 | Ryne Michael Smith | Student in an Organized Health Care Education/Training Program | 4124 Lake Limestone Ct, Baton Rouge, LA 70816-6409 | 2020-08-21 |
| 1366054470 | Monica Lynn Wink | Student in an Organized Health Care Education/Training Program | 3517 Tolmas Dr, Metairie, LA 70002-3819 | 2020-08-19 |
| 1730791849 | Brady Radosti | Student in an Organized Health Care Education/Training Program | 8124 Spruce St # B, New Orleans, LA 70118-2931 | 2020-08-19 |
| 1649881251 | Adam Yarochowicz | Student in an Organized Health Care Education/Training Program | 1385 Crescent Dr, Baton Rouge, LA 70806-8612 | 2020-08-17 |
| 1487265021 | Annadora Janet Bruce-keller | Student in an Organized Health Care Education/Training Program | 6324 Morgan Bend Dr, Baton Rouge, LA 70820-2002 | 2020-08-16 |
| 1841801545 | Trace M Juneau | Student in an Organized Health Care Education/Training Program | 201 Mable St, Thibodaux, LA 70301-4013 | 2020-08-14 |
| 1316558133 | Amy Bienvenu | Student in an Organized Health Care Education/Training Program | 810 Voisin St, New Orleans, LA 70124-1758 | 2020-08-14 |
| 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.