Individual provider Active NPI

Julie Angele Boutin, APN

  • Family Nurse Practitioner
  • Sunset, LA
National Provider Identifier
1225464654
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09955 Issued in LA
Practice address
1371 I-49 South Service Rd
Sunset, LA 70584
Phone
(337) 678-4167
Fax
(877) 278-8499
NPI assigned
Sep 17, 2013
Last updated
Jun 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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 AP09955 LA Primary

Addresses

Primary practice location

1371 I-49 South Service Rd
Sunset, LA 70584

Mailing address

2708 S Rife Medical LN Ste 130
Rogers, AR 72758-1455
Phone (479) 338-5555

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
I20190426001344 LA Practitioner - Nurse Practitioner 7911132790 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

138 Lazaro Blvd
Suite a
Opelousas, LA 70570-9115
Phone (337) 942-5700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Urgent Care, LLC CurrentSince Mar 20, 2019 Accepting new patients
Opelousas General Health System Physician Practices CurrentSince Jul 1, 2020 Accepting new patients
Opelousas General Health System CurrentSince Jul 1, 2020 Accepting new patients
Opelousas General Health System Physician Practices Current Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Mar 20, 2019 Accepting new patients
Opelousas General Health System Physician Practices Past Accepting new patients
Mercy Hospital Rogers PastSince Oct 28, 2013 Accepting new patients

Locations

109 Wallace Broussard Rd
Ste 300
Carencro, LA 70520
Phone (337) 896-9355

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

2900 Gerstner Memorial Dr
Lake Charles, LA 70601
Phone (337) 485-4185

1233 Wayne Gilmore Cir
Ste 250B
Opelousas, LA 70570
Phone (337) 407-1955

138 Lazaro Blvd
Ste A
Opelousas, LA 70570
Phone (337) 447-4025

3935 I 49 S Service Rd
Opelousas, LA 70570
Phone (337) 594-6002

3975 I 49 S Service Rd
Ste 105
Opelousas, LA 70570
Phone (337) 597-0750

3975 I 49 S Service Rd
Ste 200
Opelousas, LA 70570
Phone (337) 594-0750

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1225464654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 S RIFE MEDICAL LN STE 130",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581455",
            "telephone_number": "479-338-5555",
            "fax_number": "479-338-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 I-49 SOUTH SERVICE RD",
            "city": "SUNSET",
            "state": "LA",
            "postal_code": "70584",
            "telephone_number": "337-678-4167",
            "fax_number": "877-278-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTIN",
        "first_name": "JULIE",
        "middle_name": "ANGELE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2024-06-14",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunset, LA

Sources for this page

Verify at the official NPI Registry.