Individual provider Active NPI

Byron Keith Fournet Jr., APRN, FNP-C

  • Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1174750301
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP05857 Issued in LA
Practice address
4811 Ambassador Caffery Parkway
Suite 401a
Lafayette, LA 70508
Phone
(337) 456-6523
Fax
(337) 456-6521
NPI assigned
Jun 15, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP05857 LA Primary

Addresses

Primary practice location

4811 Ambassador Caffery Parkway
Suite 401a
Lafayette, LA 70508

Mailing address

PO Box 70
Milton, LA 70558
Phone (337) 456-6523

Other identifiers 1

IdentifierTypeStateIssuer
1801089MedicaidLA

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
I20090825000452 LA Practitioner - Nurse Practitioner 0042365132

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP05857LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Cardiovascular and Limb Salvage Center, Apmc CurrentSince Jan 1, 2012 Accepting new patients
Cardiovascular Institute of the South, LLC Nurse Practitioner Past Accepting new patients
Acadian Physician Practices LLC Past Accepting new patients

Locations

151 Hill St
Ste 1
Eunice, LA 70535
Phone (337) 457-8061

901 Wilson St
Ste C
Lafayette, LA 70503
Phone (337) 372-2400

4811 Ambassador Caffery Pkwy
Ste 401A
Lafayette, LA 70508
Phone (337) 470-3040

901 Wilson St
Ste D
Lafayette, LA 70503
Phone (337) 889-5726

901 Wilson St
Lafayette, LA 70503
Phone (337) 237-8119

5224 75th St
Ste D
Lubbock, TX 79424
Phone (806) 791-0042

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1174750301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "MILTON",
            "state": "LA",
            "postal_code": "70558",
            "telephone_number": "337-456-6523",
            "fax_number": "337-456-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 AMBASSADOR CAFFERY PARKWAY",
            "address_2": "SUITE 401A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-456-6523",
            "fax_number": "337-456-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOURNET",
        "first_name": "BYRON",
        "middle_name": "KEITH",
        "name_suffix": "Jr.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-15",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP05857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801089",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.