Organization Active NPI

Fleur de Lis OB/GYN Associates

  • Specialist
  • Metairie, LA
National Provider Identifier
1063517274
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
FLEUR DE LIS OB/GYN ASSOCIATES
Practice address
3040 33Rd St
Metairie, LA 70001-2036
Phone
(504) 832-5500
Fax
(504) 832-5531
NPI assigned
Sep 13, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Kathy Boucher Couret
Title
Office Manager
Phone
(504) 832-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X LA Primary

Addresses

Primary practice location

3040 33Rd St
Metairie, LA 70001-2036

Mailing address

3040 33Rd Street
Metairie, LA 70001
Phone (504) 832-5500

Other identifiers 2

IdentifierTypeStateIssuer
1442453MedicaidLA
7847263OtherLAAETNA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063517274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 33RD STREET",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70001",
            "telephone_number": "504-832-5500",
            "fax_number": "504-832-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 33RD ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012036",
            "telephone_number": "504-832-5500",
            "fax_number": "504-832-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEUR DE LIS OB/GYN ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COURET",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "BOUCHER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "504-832-5500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1442453",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7847263",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.