JENNIFER BOUDREAUX (NPI# 1679922918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679922918 |
Entity Type | Individual |
Full Name | JENNIFER BOUDREAUX |
Practice Address |
931 N Canal Blvd Thibodaux LA 70301-8095 |
Practice Telephone | 9854466381 |
Enumeration Date | 2016-06-07 |
Last Update Date | 2016-06-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
F0616045 | LA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700431244 | Jennifer S Boudreaux | Pharmacist | 1410 Kings Hwy, Shreveport, LA 71103-4227 | 2019-08-01 |
1275179012 | Jennifer Harmon Boudreaux | Nurse Practitioner | 1441 Liberty St, Redding, CA 96001-0811 | 2019-11-26 |
1164825519 | Jennifer Boudreaux | Physical Therapist | 2158 Portsmouth St, Houston, TX 77098-4057 | 2014-09-30 |
1790038495 | Jennifer Katharine Boudreaux | Nurse Practitioner | 920 Royal Ave, Medford, OR 97504-6169 | 2012-10-18 |
Street Address |
931 N CANAL BLVD |
City | THIBODAUX |
State | LA |
Zip Code | 70301-8095 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821086133 | Chantel Charpentier | Nurse Practitioner | 931 N Canal Blvd, Thibodaux, LA 70301-8095 | 2005-10-11 |
1063048940 | Shawn M Keller | Nurse Practitioner | 931 N Canal Blvd, Thibodaux, LA 70301-8095 | 2020-03-23 |
1780246660 | Mi'osha Bailey | Nurse Practitioner | 931 N Canal Blvd, Thibodaux, LA 70301-8095 | 2019-07-01 |
1669996658 | Sunanda Kotapuri | Internal Medicine | 931 N Canal Blvd, Thibodaux, LA 70301-8095 | 2017-08-01 |
1073989224 | Kristy Hebert | Nurse Practitioner | 931 N Canal Blvd, Thibodaux, LA 70301-8095 | 2015-08-11 |
1396888970 | Tracy Ruth Gallagher | Nurse Practitioner | 931 N Canal Blvd, Thibodaux, LA 70301-8095 | 2007-02-14 |
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 | 364SF0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Family Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710427646 | Emily Marie Riordan | Clinical Nurse Specialist | 314 Blue Fox Cir, Haughton, LA 71037-7707 | 2017-02-25 |
1689116964 | Linda Ford | Clinical Nurse Specialist | 11809 Highway 84 W, Jena, LA 71342-3703 | 2016-11-17 |
1427414549 | Affinity Health Group, LLC | Clinical Nurse Specialist | 1000 Jonesboro Rd, Beverage Division Plant 70, West Monroe, LA 71292-5925 | 2016-01-05 |
1114308731 | Lifespan Care LLC | Clinical Nurse Specialist | 1950 Duralde Hwy, Eunice, LA 70535-2131 | 2015-06-10 |
1831513555 | Charlene Jean Borne | Clinical Nurse Specialist | 70377 11th St, Covington, LA 70433-5394 | 2014-02-17 |
1891977369 | True Care LLC | Clinical Nurse Specialist | 20959 Anderson Rd, Zachary, LA 70791-7915 | 2007-11-27 |
1801494588 | Omni South Healthcare LLC | Clinical Nurse Specialist | 8225 Ymca Plaza Dr, Baton Rouge, LA 70810-0922 | 2020-10-14 |
1487063590 | William Boston | Clinical Nurse Specialist | 12880 Plank Rd, Baker, LA 70714-4909 | 2014-08-04 |
1851719652 | Robreka King | Clinical Nurse Specialist | 3401 North Blvd, Suite #200-b, Baton Rouge, LA 70806-3743 | 2014-03-31 |
1861825929 | Raven Corporation of New Orleans | Clinical Nurse Specialist | 7506 Jonlee Dr, New Orleans, LA 70128-1435 | 2013-08-13 |
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.