Nicole H Doucet, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP04113 Issued in LA

Practice address

119 S 5TH St
Iota, LA 70543-6044

Phone

(337) 779-6000

Fax

(337) 779-2027

NPI assigned

Jul 6, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Pine Prairie Family Healthcare LLCGroup PAC ID 3476776394, 3 clinicians

Iota Family Healthcare, LLCGroup PAC ID 1052573599, 2 clinicians

Jennings Family Healthcare, LLCGroup PAC ID 5799121752, 3 clinicians

Rayne Family Healthcare, LLCGroup PAC ID 4789937293, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Acadia General Hospital Hospital, Crowley, LA, CCN 190044
• Ochsner American Legion Hospital Hospital, Jennings, LA, CCN 190053

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Iota Family Healthcare, LLC

  • Rural Health Clinic/Center
  • Iota, LA
  • NPI 1326326950

  5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Jennings Family Healthcare, LLC

  • Rural Health Clinic/Center
  • Jennings, LA
  • NPI 1164249603

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Jennings Family Healthcare, LLC

  • Primary Care Clinic/Center
  • Jennings, LA
  • NPI 1366217788

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Pine Prairie Family Healthcare, LLC

  • Rural Health Clinic/Center
  • Pine Prairie, LA
  • NPI 1588080386

  Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Rayne Family Healthcare, LLC

  • Rural Health Clinic/Center
  • Rayne, LA
  • NPI 1376121988

  5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Rayne Family Healthcare, LLC

  • Rural Health Clinic/Center
  • Rayne, LA
  • NPI 1588147656

  5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

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.

• Iota Family Healthcare, LLC

  • Rural Health Clinic/Center
  • Iota, LA
  • NPI 1326326950
  Medicare reassignment Care Compare group NPD Authorized official
• Jennings Family Healthcare, LLC

  • Primary Care Clinic/Center
  • Jennings, LA
  • NPI 1366217788
  Medicare reassignment Care Compare group NPD Authorized official
• Pine Prairie Family Healthcare, LLC

  • Rural Health Clinic/Center
  • Pine Prairie, LA
  • NPI 1588080386
  Medicare reassignment Care Compare group Authorized official
• Rayne Family Healthcare, LLC

  • Rural Health Clinic/Center
  • Rayne, LA
  • NPI 1588147656
  Medicare reassignment Care Compare group Authorized official
• Jennings Family Healthcare, LLC

  • Rural Health Clinic/Center
  • Jennings, LA
  • NPI 1164249603
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Acadia General Hospital, Inc.

  • General Acute Care Hospital
  • Crowley, LA
  • NPI 1669882940
  Care Compare affiliation
• Ochsner American Legion Hospital LLC

  • General Acute Care Hospital
  • Jennings, LA
  • NPI 1184373268
  Care Compare affiliation

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1174520035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S 5TH ST",
            "city": "IOTA",
            "state": "LA",
            "postal_code": "70543",
            "telephone_number": "337-779-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S 5TH ST",
            "city": "IOTA",
            "state": "LA",
            "postal_code": "705436044",
            "telephone_number": "337-779-6000",
            "fax_number": "337-779-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUCET",
        "first_name": "NICOLE",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-06",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "LA",
            "license": "AP04113",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP04113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1142701",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chasity Bijeaux
• Terrie Butler
• Cajun Medical Transportation LLC
• Ernest J Domingue
• Kimberly Dommert
• Evergreen Presbyterian Ministries, Inc.
• Janet Mary Fontenot
• Iota Family Healthcare, LLC
• Iota Family Pharmacy Inc.
• Iota Family Pharmacy Inc.

• Family Nurse Practitioner in Iota, LA
• Providers in Iota, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.