Individual provider Active NPI

Ashley Ann Dufrene, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Thibodaux, LA
National Provider Identifier
1043057862
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
212540 Issued in LA
Practice address
126 Rue Colette
Thibodaux, LA 70301-5628
Phone
(985) 625-0023
NPI assigned
Jul 10, 2024
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 212540 LA Primary

Addresses

Primary practice location

126 Rue Colette
Thibodaux, LA 70301-5628

Mailing address

2872 Highway 1
Raceland, LA 70394-3647
Phone (985) 228-0469

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
I20241010004021 LA Practitioner - Nurse Practitioner 3072045368 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Psychological Health Care of South LouisianaGroup PAC ID 5395916571, 7 clinicians

Practice addresses (Care Compare)

126 Rue Colette
Thibodaux, LA 70301-5628
Phone (985) 625-0023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
212540LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Health Care of South Louisiana CurrentSince Nov 1, 2024 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Sep 16, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince Sep 16, 2024 Accepting new patients

Locations

1151 Marguerite St
Morgan City, LA 70380
Phone (337) 364-0441

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

126 Rue Colette
Thibodaux, LA 70301
Phone (985) 625-0023

Interoperability endpoints

  • Direct secure messaging: adufrene461596@direct.ochsner.org

Organizations & group practices 4

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": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1043057862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2872 HIGHWAY 1",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703943647",
            "telephone_number": "985-228-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 RUE COLETTE",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703015628",
            "telephone_number": "985-625-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFRENE",
        "first_name": "ASHLEY",
        "middle_name": "ANN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "212540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.