Individual provider Active NPI

Laura Bouet, CNM

  • Midwife
  • Chandler, AZ
National Provider Identifier
1255979795
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
APRN11017208 Issued in FL
Practice address
2055 W Frye Rd Ste 9
Chandler, AZ 85224-6277
Phone
(480) 821-3600
NPI assigned
Dec 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 05175
Midwife 176B00000X APRN11017208 FL Primary

Addresses

Primary practice location

2055 W Frye Rd Ste 9
Chandler, AZ 85224-6277

Mailing address

PO Box 6730
Chandler, AZ 85246-6730
Phone (480) 821-3610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230126000950 FL Practitioner - Certified Nurse Midwife (CNM) 8527495340 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APRN11017208FLMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Jan 31, 2023 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jan 31, 2023 Accepting new patients
OB Hospitalist Group LLC CurrentSince Sep 1, 2022 Accepting new patients
OB Hospitalist Group LLC CurrentSince Sep 1, 2022 Accepting new patients
Healthy Pregnancy Perinatology, LLC PastSince Dec 22, 2019 Accepting new patients

Locations

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

1749 David Walker Dr
Tavares, FL 32778
Phone (352) 742-1760

787 37th St
Ste E170
Vero Beach, FL 32960
Phone (772) 569-3212

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

1685 Lee Rd
Ste 100
Winter Park, FL 32789
Phone (407) 896-8097

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1255979795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6730",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852466730",
            "telephone_number": "480-821-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 W FRYE RD STE 9",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246277",
            "telephone_number": "480-821-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUET",
        "first_name": "LAURA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": "05175",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "APRN11017208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.