Active NPI
Ilea Nauts, AGACNP-BC
- Acute Care Nurse Practitioner
- Lake Charles, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- AP09202
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP09202 | LA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LCMS Surgical Associates of Southwest Lousiana, LLC | Current | 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
- 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.
-
dba Surgical Associates of Southwest Louisiana
- Surgery Physician
- Lake Charles, LA
- NPI 1407168032
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.