Active NPI
Laura Bouet, CNM
- Midwife
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- APRN11017208
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11017208 | FL | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| OB Hospitalist Group LLC | Current | Accepting new patients | |
| OB Hospitalist Group LLC | Current | Accepting new patients | |
| Healthy Pregnancy Perinatology, LLC | Past | 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.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Obstetrics & Gynecology Physician
- Boca Raton, FL
- NPI 1710647334
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Obstetrics & Gynecology Physician
- Winter Haven, FL
- NPI 1851282016
-
- Maternal & Fetal Medicine Physician
- Gilbert, AZ
- NPI 1467725812
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.