Kayla Bergeaux, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

204719 Issued in LA

Practice address

110 W First St
Suite a
Duson, LA 70529

Phone

(337) 873-8244

Fax

(337) 873-8274

NPI assigned

Apr 25, 2019

Last updated

Sep 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tiffany Roy FNP LLCGroup PAC ID 9739256512, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3274/brand/1/csg/1/fhir/r4
• Direct secure messaging: kayla.bergeaux.1@3274.direct.athenahealth.com

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.

• Tiffany Roy, FNP, L.L.C.

  dba Duson Family Healthcare

  • Primary Care Clinic/Center
  • Duson, LA
  • NPI 1699930719
  Medicare reassignment Care Compare group NPD
• Orthopaedic Reconstructive Sub-Specialists LLC

  • Clinic/Center
  • Opelousas, LA
  • NPI 1255596490
  Medicare reassignment NPD
• Tiffany Roy FNP LLC

  dba Duson Family Healthcare

  • Rural Health Clinic/Center
  • Duson, LA
  • NPI 1376986257
  NPD

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1063076024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9023 CAMERON STREET",
            "address_2": "PO BOX",
            "city": "DUSON",
            "state": "LA",
            "postal_code": "705296831",
            "telephone_number": "337-873-8244",
            "fax_number": "337-873-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W FIRST ST",
            "address_2": "SUITE A",
            "city": "DUSON",
            "state": "LA",
            "postal_code": "70529",
            "telephone_number": "337-873-8244",
            "fax_number": "337-873-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGEAUX",
        "first_name": "KAYLA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "204719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENCE NUMBER",
            "identifier": "204719",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Aguillard
• Rosalene Alexander
• Bianca Anderson
• Gary J Anderson
• Sarah Beth Anderson, CPM, LM
• Sheila Marie Bolfa, PMHNP-BC
• Brent David Boudreaux, ATC
• Christen Leigh Boudreaux, FNP-C
• Verna Calais
• Jamie Calton

• Family Nurse Practitioner in Duson, LA
• Providers in Duson, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.