Carolyn Rideaux, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN044627-AP06618 Issued in LA

Practice address

2837 Ernest St
Lake Charles, LA 70601-8785

Phone

(337) 480-8990

Fax

(337) 439-1133

NPI assigned

Aug 18, 2011

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 names 1

• Mrs. Carolyn Rideaux Horne Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1083994347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2837 ERNEST ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018785",
            "telephone_number": "337-480-8990",
            "fax_number": "337-439-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2837 ERNEST ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018785",
            "telephone_number": "337-480-8990",
            "fax_number": "337-439-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDEAUX",
        "first_name": "CAROLYN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "RN044627-AP06618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "HORNE",
            "middle_name": "RIDEAUX",
            "prefix": "MRS.",
            "credential": "R. N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Debra Richey, LPN
• Barrett Saunders Richter, DC
• Andrea Ricklefsen, RPH
• Chandrika Dena' Rideau
• Jordan Ashley Rideau
• Veranna Rideaux
• Samantha A Rider, RD
• Shaine Emanuel Rider, D.C.
• Karen Riffle
• Katina Rigmadien

• Adult Health Nurse Practitioner in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Adult Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.