Individual provider Active NPI

Emily Geesling Bergeron, FNP-C

  • Primary Care Nurse Practitioner
  • Franklin, LA
National Provider Identifier
1033627906
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP09739 Issued in LA
Practice address
1115 Weber St
Franklin, LA 70538
Phone
(337) 828-2550
Fax
(337) 828-5411
NPI assigned
Jan 13, 2018
Last updated
Jun 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP09739 LA
Primary Care Nurse Practitioner 363LP2300X AP09739 LA Primary

Addresses

Primary practice location

1115 Weber St
Franklin, LA 70538

Mailing address

1115 Weber St
Franklin, LA 70538-4124
Phone (337) 828-2550

Other practice location 1

827 Bayou Gardens Blvd
Houma, LA 70364-1464
Phone (985) 853-2343

Other practice location 2

103 Ridgefield Rd
Thibodaux, LA 70301-2719
Phone (985) 492-1560

Other practice location 3

827 Bayou Gardens Blvd
Houma, LA 70364-1464
Phone (985) 853-2343

Other identifiers 2

IdentifierTypeStateIssuer
2461605MedicaidLA
797210OtherLAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180425002257 LA Practitioner - Nurse Practitioner 5294099305 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Teche Action Board IncGroup PAC ID 0648163980, 27 clinicians

Practice addresses (Care Compare)

1115 Weber St
Franklin, LA 70538-4124
Phone (337) 828-2550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP09739LAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Teche Action Board Inc Current Accepting new patients
Teche Action Board, Inc. CurrentSince Apr 1, 2019 Accepting new patients
Houma Health Clinic, Inc Family CurrentSince Feb 5, 2018 Accepting new patients
Teche Action Board, Inc. CurrentSince Apr 1, 2019 Accepting new patients
Teche Action Board Inc Past Accepting new patients
Teche Action Board, Inc. Past Accepting new patients
Teche Action Board, Inc. Past Accepting new patients
Teche Action Board, Inc. Past Accepting new patients
Teche Action Board, Inc. Past Accepting new patients
Teche Action Board, Inc. Past Accepting new patients
Teche Action Board, Inc. Past Accepting new patients

Locations

18333 Highway 182
Rm 505
Baldwin, LA 70514
Phone (337) 924-9418

159 E 3rd St
Edgard, LA 70049
Phone (985) 497-8726

2555 Highway 18
Edgard, LA 70049
Phone (337) 828-2550

1115 Weber St
Franklin, LA 70538
Phone (337) 828-2550

827 N Pine St
Gramercy, LA 70052
Phone (225) 258-9490

1014 W Tunnel Blvd
Houma, LA 70360
Phone (985) 851-1717

189 Mozart Dr
Houma, LA 70363
Phone (985) 868-3700

5642 W Main St
Houma, LA 70360
Phone (985) 448-3737

827 Bayou Gardens Blvd
Houma, LA 70364
Phone (985) 853-2343

393 Greenwood Dr
La Place, LA 70068
Phone (985) 359-6492

1124 7th St
Morgan City, LA 70380
Phone (985) 384-2371

3528 Highway 70 S
Pierre Part, LA 70339
Phone (985) 252-6211

1709 Ridgefield Rd
Thibodaux, LA 70301
Phone (985) 446-7341

22187 Highway 20
Vacherie, LA 70090
Phone (225) 258-4980

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJFBCD/Endpoint/DJFBCD

Organizations & group practices 11

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1033627906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 WEBER ST",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705384124",
            "telephone_number": "337-828-2550",
            "fax_number": "337-828-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 WEBER ST",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "70538",
            "telephone_number": "337-828-2550",
            "fax_number": "337-828-5411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "827 Bayou Gardens Blvd",
            "address_purpose": "LOCATION",
            "city": "Houma",
            "state": "LA",
            "postal_code": "703641464",
            "country_code": "US",
            "telephone_number": "985-853-2343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Ridgefield Rd",
            "address_purpose": "LOCATION",
            "city": "Thibodaux",
            "state": "LA",
            "postal_code": "703012719",
            "country_code": "US",
            "telephone_number": "985-492-1560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "827 Bayou Gardens Blvd",
            "address_purpose": "LOCATION",
            "city": "Houma",
            "state": "LA",
            "postal_code": "703641464",
            "country_code": "US",
            "telephone_number": "985-853-2343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGERON",
        "first_name": "EMILY",
        "middle_name": "GEESLING",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-13",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09739",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "AP09739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2461605",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "797210",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, LA

Sources for this page

Verify at the official NPI Registry.