Individual provider Active NPI

Kathryn Lynn Armentor Boutte, NP

  • Family Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1265912141
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APO9751 Issued in LA
Practice address
4212 W Congress St Ste 3300
Lafayette, LA 70506-6789
Phone
(337) 703-4481
Fax
(337) 703-4484
NPI assigned
Aug 20, 2018
Last updated
Sep 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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 APO9751 LA Primary

Addresses

Primary practice location

4212 W Congress St Ste 3300
Lafayette, LA 70506-6789

Mailing address

PO Box 919229
Dallas, TX 75391-9229
Phone (337) 289-8944

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
I20181012001037 LA Practitioner - Nurse Practitioner 6204188683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

Practice addresses (Care Compare)

4212 W Congress St
Suite 3100
Lafayette, LA 70506-6765
Phone (337) 703-3201

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APO9751LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc CurrentSince Aug 20, 2018 Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
Lafayette Health Ventures, Inc CurrentSince Aug 20, 2018 Accepting new patients

Locations

1000 W Pinhook Rd
Ste 304
Lafayette, LA 70503
Phone (337) 289-9155

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

4212 W Congress St
Ste 3300
Lafayette, LA 70506
Phone (337) 703-4481

900 E Saint Mary Blvd
Ste 106
Lafayette, LA 70503
Phone (337) 289-8861

Interoperability endpoints

  • Direct secure messaging: kboutte1443416@direct.ochsner.org

Organizations & group practices 3

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": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1265912141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919229",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753919229",
            "telephone_number": "337-289-8944",
            "fax_number": "337-571-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 W CONGRESS ST STE 3300",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066789",
            "telephone_number": "337-703-4481",
            "fax_number": "337-703-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMENTOR BOUTTE",
        "first_name": "KATHRYN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "APO9751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.