Individual provider Active NPI

Ilea Nauts, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1043732894
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP09202 Issued in LA
Practice address
2770 3Rd Ave Ste 120
Lake Charles, LA 70601-8994
Phone
(337) 494-4868
Fax
(337) 494-4870
NPI assigned
Jul 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP09202 LA Primary

Addresses

Primary practice location

2770 3Rd Ave Ste 120
Lake Charles, LA 70601-8994

Mailing address

PO Box 122342 Dept 2342
Dallas, TX 75312-0001
Phone (337) 494-2772

Other practice location 1

1701 Oak Park Blvd
Lake Charles, LA 70601-8911
Phone (337) 494-4868

Other practice location 2

1717 Oak Park Blvd Fl 1
Lake Charles, LA 70601-8977
Phone (337) 494-6820

Other practice location 3

2770 3rd Ave Ste 110
Lake Charles, LA 70601-0404
Phone (337) 494-4862

Other names 1

  • Ilea Gomes Professional name

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
I20190306003086 LA Practitioner - Nurse Practitioner 4587903612 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP09202LAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LCMS Surgical Associates of Southwest Lousiana, LLC CurrentSince Feb 1, 2019 Accepting new patients

Locations

2770 3rd Ave
Ste 110
Lake Charles, LA 70601
Phone (337) 494-2750

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

2770 3rd Ave
Ste 120
Lake Charles, LA 70601
Phone (337) 494-4868

1717 Oak Park Blvd
Fl 1
Lake Charles, LA 70601
Phone (337) 478-3810

Interoperability endpoints

  • Direct secure messaging: inauts5281979@direct.casso.us.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1043732894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122342 DEPT 2342",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753120001",
            "telephone_number": "337-494-2772",
            "fax_number": "337-494-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 3RD AVE STE 120",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018994",
            "telephone_number": "337-494-4868",
            "fax_number": "337-494-4870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Oak Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706018911",
            "country_code": "US",
            "telephone_number": "337-494-4868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1717 Oak Park Blvd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706018977",
            "country_code": "US",
            "telephone_number": "337-494-6820",
            "fax_number": "337-494-6465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2770 3rd Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706010404",
            "country_code": "US",
            "telephone_number": "337-494-4862",
            "fax_number": "337-494-4863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAUTS",
        "first_name": "ILEA",
        "name_prefix": "Mrs.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "LA",
            "license": "AP09202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ILEA",
            "last_name": "GOMES",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.