Individual provider Active NPI

Rose Cuneo, FNP

  • Primary Care Nurse Practitioner
  • Houma, LA
National Provider Identifier
1083010318
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
04576 Issued in LA
Practice address
235 Civic Center Blvd
Houma, LA 70360-5937
Phone
(985) 333-2020
Fax
(985) 851-0452
NPI assigned
Nov 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 04576 LA Primary
Nurse Practitioner 363L00000X AP07580 LA

Addresses

Primary practice location

235 Civic Center Blvd
Houma, LA 70360-5937

Mailing address

PO Box 6014
Houma, LA 70361-6014
Phone (985) 873-4751

Other practice location 1

312 E Bayou Rd
Thibodaux, LA 70301-8036
Phone (985) 266-0444

Other identifiers 1

IdentifierTypeStateIssuer
AP07580MedicaidLA

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
I20150316002044 LA Practitioner - Nurse Practitioner 3375860117 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP07580LAMDNurse Practitioner
04576LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Start Corporation CurrentSince May 9, 2025 Accepting new patients
Start Corporation CurrentSince May 9, 2025 Accepting new patients
Start Corporation Past Accepting new patients

Locations

420 Magnolia St
Houma, LA 70360
Phone (985) 873-7784

235 Civic Center Blvd
Houma, LA 70360
Phone (985) 333-2020

312 E Bayou Rd
Thibodaux, LA 70301
Phone (985) 266-0444

Organizations & group practices 3

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": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1083010318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6014",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703616014",
            "telephone_number": "985-873-4751",
            "fax_number": "985-873-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 CIVIC CENTER BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703605937",
            "telephone_number": "985-333-2020",
            "fax_number": "985-851-0452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 E Bayou Rd",
            "address_purpose": "LOCATION",
            "city": "Thibodaux",
            "state": "LA",
            "postal_code": "703018036",
            "country_code": "US",
            "telephone_number": "985-266-0444",
            "fax_number": "985-338-2386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNEO",
        "first_name": "ROSE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "04576",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP07580",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AP07580",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.