KRYSTEN HYMEL PERQUE (NPI# 1992048011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992048011 |
| Entity Type | Individual |
| Full Name | KRYSTEN HYMEL PERQUE |
| Credential | FNP |
| Practice Address |
905 Canal Blvd Thibodaux LA 70301-4505 |
| Practice Telephone | 9854929100 |
| Practice Fax Number | 9854929102 |
| Mailing Telephone | 9854929100 |
| Mailing Fax Number | 9854929102 |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2016-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP07204 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2339494 | 05 |
| Street Address |
905 CANAL BLVD |
| City | THIBODAUX |
| State | LA |
| Zip Code | 70301-4505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285005967 | Prevention Plus of Thibodaux LLC | Specialist | 905 Canal Blvd, Thibodaux, LA 70301-4505 | 2015-10-07 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457979684 | Penny Rush Rodrigue | Nurse Practitioner | 604 N Acadia Rd Ste 405, Thibodaux, LA 70301-4897 | 2020-07-14 |
| 1043854086 | Nicholas S Fuglaar | Nurse Practitioner | 2031 Audubon Ave, Thibodaux, LA 70301-5073 | 2019-11-02 |
| 1942765326 | Katie Hebert | Nurse Practitioner | 764 N Acadia Rd Ste A, Thibodaux, LA 70301-5009 | 2019-02-09 |
| 1548613136 | Heather Thibodaux Thomassie | Nurse Practitioner | 142 Rue Marguerite # B, Thibodaux, LA 70301-6708 | 2016-07-19 |
| 1114331220 | Beth Foshee Naquin | Nurse Practitioner | 604 N Acadia Rd Ste 508, Thibodaux, LA 70301-4897 | 2014-06-17 |
| 1821086133 | Chantel Charpentier | Nurse Practitioner | 931 N Canal Blvd, Thibodaux, LA 70301-8095 | 2005-10-11 |
| 1598370991 | Jill L Bueche | Nurse Practitioner | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2020-09-11 |
| 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 |
| 1013573583 | Tommie Landry Jr. | Nurse Practitioner | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2019-05-10 |
| Find all providers in THIBODAUX | ||||
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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.