Mary Margaret Gautreau, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

RN086761 Issued in LA

Practice address

22601 Highway 190 E
Robert, LA 70455-1731

Phone

(504) 236-5311

Fax

(985) 542-2755

NPI assigned

Jan 16, 2007

Last updated

Dec 27, 2016By 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: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Total Family Medical LLCGroup PAC ID 3577792878, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.gautreau.1@10157.direct.athenahealth.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Total Family Medical, LLC

  • Rural Health Clinic/Center
  • Robert, LA
  • NPI 1558791905

  5% Or Greater Direct Ownership Interest, Contracted Managing Employee, Corporate Officer, General Partnership Interest, Operational/Managerial Control

  CMS ownership

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.

• Total Family Medical, LLC

  • Family Medicine Physician
  • Robert, LA
  • NPI 1881026870
  Medicare reassignment Care Compare group NPD
• Total Family Medical, LLC

  dba Total Family Medical of Loranger

  • Family Medicine Physician
  • Loranger, LA
  • NPI 1891161386
  Authorized official Same address or phone
• Total Family Medical, LLC

  • Rural Health Clinic/Center
  • Robert, LA
  • NPI 1558791905
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1073664009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22601 HIGHWAY 190 E",
            "city": "ROBERT",
            "state": "LA",
            "postal_code": "704551731",
            "telephone_number": "504-236-5311",
            "fax_number": "985-542-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22601 HIGHWAY 190 E",
            "city": "ROBERT",
            "state": "LA",
            "postal_code": "704551731",
            "telephone_number": "504-236-5311",
            "fax_number": "985-542-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTREAU",
        "first_name": "MARY",
        "middle_name": "MARGARET",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "LA",
            "license": "RN086761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1527386",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittani Shane Barksdale, PHARMD
• Abigail Heap Cochran
• Christine Cominos
• Robin Elizabeth Curtis, NP-C
• Aline S Favor, SLP
• Stewart M Gegenheimer, DDS
• Cassie Andermann Guste, FNP-C
• Carol C Lambert, MSN,APRN, FNP-BC
• Lenfant Enterprises LLC (Tangipahoa Family and Occupational Medicine)
• Leslie Nunnery, FNP

• Advanced Practice Midwife in Robert, LA
• Providers in Robert, LA by specialty
• Advanced Practice Midwife in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.