Individual provider Active NPI

Scott Paul Bellanger, DNP, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Thibodaux, LA
National Provider Identifier
1083383970
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
231854 Issued in LA
Practice address
1101 Audubon Ave
Thibodaux, LA 70301-4957
Phone
(985) 492-6170
NPI assigned
Sep 13, 2021
Last updated
Sep 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 231854 LA Primary

Addresses

Primary practice location

1101 Audubon Ave
Thibodaux, LA 70301-4957

Mailing address

105 Avery St
Luling, LA 70070-2181
Phone (985) 856-9956

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
I20240118001799 LA Practitioner - Nurse Practitioner 8729430434 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
231854LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Life Coast Community Health Center Inc CurrentSince Dec 1, 2023 Accepting new patients
Life Coast Community Health Center Inc CurrentSince Dec 1, 2023 Accepting new patients

Locations

605 Enterprise Dr
Ste C
Houma, LA 70360
Phone (985) 360-3755

1101 Audubon Ave
Thibodaux, LA 70301
Phone (985) 447-2617

1101 Audubon Ave
Ste S1
Thibodaux, LA 70301
Phone (985) 447-6444

504 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 447-5667

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDCJBD/Endpoint/HDCJBD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1083383970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 AVERY ST",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700702181",
            "telephone_number": "985-856-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 AUDUBON AVE",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014957",
            "telephone_number": "985-492-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLANGER",
        "first_name": "SCOTT",
        "middle_name": "PAUL",
        "credential": "DNP, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-13",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "231854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.