Active NPI
Stephen Kirk Billeaudeaux, R.N.
- Registered Nurse
- Deridder, LA
National Provider Identifier
1245618651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN117188
- Practice address
- 106 W Port St
Deridder, LA 70634-4040 - Phone
- (337) 462-1461
- NPI assigned
- May 18, 2015
- Last updated
- May 18, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN117188 | LA | Primary |
Addresses
Primary practice location
106 W Port St
Deridder, LA 70634-4040
Mailing address
19520 Patterson Rd
Welsh, LA 70591-6516
Phone (337) 540-0638
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN117188 | LA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431907200000",
"number": "1245618651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19520 PATTERSON RD",
"city": "WELSH",
"state": "LA",
"postal_code": "705916516",
"telephone_number": "337-540-0638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 W PORT ST",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706344040",
"telephone_number": "337-462-1461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILLEAUDEAUX",
"first_name": "STEPHEN",
"middle_name": "KIRK",
"name_prefix": "Mr.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-18",
"last_updated": "2015-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "LA",
"license": "RN117188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deridder, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.