NPIMap

Individual provider Active NPI

Jeanne Nicole Gautreaux, M.D.

  • Obstetrics & Gynecology Physician
  • Zachary, LA
National Provider Identifier
1003057076
Registry record updated Jan 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD.204395 Issued in LA
Practice address
6550 Main St
Suite 2000
Zachary, LA 70791-4092
Phone
(225) 235-9308
Fax
(225) 658-1304
NPI assigned
Mar 20, 2009
Sex
Female
Sole proprietor
Yes

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in New Orleans, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Louisiana LLC 20 clinicians
Hospital Service District 1 of East Baton Rouge Parish 44 clinicians

Practice addresses (Care Compare)

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (864) 908-3530

6300 Main St
Zachary, LA 70791-4037
Phone (225) 570-2618

Hospital & facility affiliations

  • Lane Regional Medical Center Hospital, Zachary, LA, CCN 190020
  • Womans Hospital Hospital, Baton Rouge, LA, CCN 190128
  • West Feliciana Parish Hospital Hospital, Saint Francisville, LA, CCN 191306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160301000336 LA Practitioner - Obstetrics/Gynecology 7113222100 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.204395LAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District 1 of East Baton Rouge Parish CurrentSince Sep 1, 2018 Accepting new patients
Obhg Louisiana, LLC Obstetrics & Gynecology CurrentSince Jul 31, 2020 Accepting new patients
Hospital Service District 1 of East Baton Rouge Parish Obstetrics & Gynecology Current Accepting new patients
Hospital Service District 1 of East Baton Rouge Parish CurrentSince Sep 1, 2018 Accepting new patients
Hospital Service District 1 of East Baton Rouge Parish Past Accepting new patients
Hospital Service District 1 of East Baton Rouge Parish Past Accepting new patients

Locations

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

6300 Main St
Zachary, LA 70791
Phone (225) 570-2618

2335 Church St
Ste E
Zachary, LA 70791
Phone (225) 570-2489

6550 Main St
Zachary, LA 70791
Phone (225) 658-6780

6550 Main St
Ste 2000
Zachary, LA 70791
Phone (225) 235-9308

2335 Church St
Zachary, LA 70791
Phone (225) 654-3607

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD.204395 LA Primary

Addresses

NPPES NPI Registry

Primary practice location

6550 Main St
Suite 2000
Zachary, LA 70791-4092

Mailing address

3822 Monte Vista Dr
Addis, LA 70710-3004
Phone (225) 235-9308

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1974722MedicaidLA

Other names 1

NPPES NPI Registry
  • Nikki Gilbert Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 26, 2020.

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579996800000",
    "number": "1003057076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3822 MONTE VISTA DR",
            "city": "ADDIS",
            "state": "LA",
            "postal_code": "707103004",
            "telephone_number": "225-235-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 MAIN ST",
            "address_2": "SUITE 2000",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914092",
            "telephone_number": "225-235-9308",
            "fax_number": "225-658-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTREAUX",
        "first_name": "JEANNE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-20",
        "last_updated": "2020-01-26",
        "certification_date": "2020-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "MD.204395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1974722",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKKI",
            "last_name": "GILBERT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Zachary, LA

Sources for this page

Verify at the official NPI Registry.