Debra Vidrine, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN039129 APO4342 Issued in LA

Practice address

1015 Sanders
Pine Prairie, LA 70576-3611

Phone

(337) 599-2212

Fax

(337) 546-0071

NPI assigned

Nov 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hulin Urgent Care Services LLCGroup PAC ID 6800051285, 135 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 29)

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.

• Hulin Urgent Care Services LLC

  dba SouthStar Urgent Care

  • Urgent Care Clinic/Center
  • New Iberia, LA
  • NPI 1699049262
  Medicare reassignment Care Compare group NPD
• Hulin Urgent Care Services LLC

  dba Southstar Urgent Care

  • Urgent Care Clinic/Center
  • Rayne, LA
  • NPI 1750055141
  NPD
• Bayou State Group Inc

  • Neurology Physical Therapist
  • Eunice, LA
  • NPI 1174626279
  NPD (past)
• Bayou State Group, Inc

  • Clinic/Center
  • Eunice, LA
  • NPI 1720026727
  NPD (past)
• Hulin Urgent Care Services LLC

  dba SouthStar Urgent Care

  • Urgent Care Clinic/Center
  • Plaquemine, LA
  • NPI 1083217319
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254787200000",
    "number": "1265506984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65205",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708965205",
            "telephone_number": "337-546-0101",
            "fax_number": "337-546-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 SANDERS",
            "city": "PINE PRAIRIE",
            "state": "LA",
            "postal_code": "705763611",
            "telephone_number": "337-599-2212",
            "fax_number": "337-546-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDRINE",
        "first_name": "DEBRA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2009-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN039129 APO4342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477532",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pine Prairie Pharmacy,Inc
• Play With Purpose Pediatric Therapy, LLC
• Prairie Manor, Inc. (Prairie Manor Nursing Home)
• Carmen Nicole Rollins, FNP
• Savoy Medical Management Group, Inc. (Pine Prairie Community Clinic)

• Family Nurse Practitioner in Pine Prairie, LA
• Providers in Pine Prairie, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.