Active NPI
Charlotte Marie Goudeau, LM, CPM
- Midwife
- Maringouin, LA
National Provider Identifier
1194172999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 301643
- Practice address
- 77900 Janie LN
Maringouin, LA 70757-3027 - Phone
- (225) 776-0277
- NPI assigned
- May 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 301643 | LA | Primary |
Addresses
Primary practice location
77900 Janie LN
Maringouin, LA 70757-3027
Mailing address
77900 Janie LN
Maringouin, LA 70757-3027
Phone (225) 776-0277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301643 | LA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463788800000",
"number": "1194172999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77900 JANIE LN",
"city": "MARINGOUIN",
"state": "LA",
"postal_code": "707573027",
"telephone_number": "225-776-0277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77900 JANIE LN",
"city": "MARINGOUIN",
"state": "LA",
"postal_code": "707573027",
"telephone_number": "225-776-0277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOUDEAU",
"first_name": "CHARLOTTE",
"middle_name": "MARIE",
"credential": "LM, CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-21",
"last_updated": "2016-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "LA",
"license": "301643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maringouin, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.