Individual provider Active NPI

Deborah Lebeouf Mire, APRN-FNP-C

  • Family Nurse Practitioner
  • Rayne, LA
National Provider Identifier
1104541325
Registry record updated Aug 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09220919 Issued in LA
Practice address
211 N Adams Ave
Rayne, LA 70578-5919
Phone
(337) 306-8006
NPI assigned
Oct 10, 2022
Last updated
Aug 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F09220919 LA Primary

Addresses

Primary practice location

211 N Adams Ave
Rayne, LA 70578-5919

Mailing address

23629 W Lonnie Rd
Kaplan, LA 70548-6398
Phone (337) 849-3742

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
I20230404000343 LA Practitioner - Nurse Practitioner 9739553892 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F09220919LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress Medical Clinic LLC CurrentSince Sep 5, 2023 Accepting new patients
Abbeville General Hospital CurrentSince Mar 1, 2023 Accepting new patients
Abbeville General Hospital PastSince Mar 1, 2023 Accepting new patients

Locations

118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466

2419 Alonzo St
Abbeville, LA 70510
Phone (337) 892-0630

2421 Alonzo St
Abbeville, LA 70510
Phone (337) 892-6919

220 North Rd
Erath, LA 70533
Phone (337) 937-5944

207 Milton Rd
Maurice, LA 70555
Phone (337) 898-9449

211 N Adams Ave
Rayne, LA 70578
Phone (337) 306-8006

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, 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": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693094400000",
    "number": "1104541325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23629 W LONNIE RD",
            "city": "KAPLAN",
            "state": "LA",
            "postal_code": "705486398",
            "telephone_number": "337-849-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N ADAMS AVE",
            "city": "RAYNE",
            "state": "LA",
            "postal_code": "705785919",
            "telephone_number": "337-306-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRE",
        "first_name": "DEBORAH",
        "middle_name": "LEBEOUF",
        "credential": "APRN-FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2023-08-27",
        "certification_date": "2023-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "F09220919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rayne, LA

Sources for this page

Verify at the official NPI Registry.