Individual provider Active NPI

Suzanne C Bonvillain, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Houma, LA
National Provider Identifier
1124701735
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07230255 Issued in LA
Practice address
600 Valhi Blvd
Houma, LA 70360-5976
Phone
(985) 872-3677
NPI assigned
Aug 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 131229 LA
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X F07230255 LA Primary
Nurse Practitioner 363L00000X 231514 LA

Addresses

Primary practice location

600 Valhi Blvd
Houma, LA 70360-5976

Mailing address

600 Valhi Blvd
Houma, LA 70360-5976
Phone (985) 872-3677

Other names 1

  • Suzanne M Morgan Other name

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
I20260624003219 LA Practitioner - Nurse Practitioner 7618440322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 1536
Mandeville, LA 70470

PO Box
Suite 2704
Morgan City, LA 70381-2704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
131229LAMDRegistered Nurse
231514LAMDNurse Practitioner
F07230255LAMDFamily Nurse Practitioner

Organizations & group practices 1

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": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1124701735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 VALHI BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703605976",
            "telephone_number": "985-872-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 VALHI BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703605976",
            "telephone_number": "985-872-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONVILLAIN",
        "first_name": "SUZANNE",
        "middle_name": "C",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "131229",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "F07230255",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "231514",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "MORGAN",
            "middle_name": "M",
            "credential": "EMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.