Individual provider Active NPI

Quinn Allen Quebodeaux, DO

  • Family Medicine Physician
  • Kaplan, LA
National Provider Identifier
1275186165
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
332738 Issued in LA
Practice address
1402 W 8TH St
Kaplan, LA 70548-2918
Phone
(337) 285-6033
NPI assigned
Jul 19, 2019
Last updated
Aug 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2019023776 MO
Family Medicine Physician 207Q00000X 332738 LA Primary

Addresses

Primary practice location

1402 W 8TH St
Kaplan, LA 70548-2918

Mailing address

12736 Crane Rd
Kaplan, LA 70548-7001
Phone (337) 652-0354

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220928001198 LA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 9537545512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
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)

1325 Wright Ave
Crowley, LA 70526-2226
Phone (337) 783-1651

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
332738LAMDFamily Medicine Physician
2019023776MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc CurrentSince Aug 29, 2022 Accepting new patients
Lafayette Health Ventures Inc Family Medicine Current Accepting new patients
Lafayette Health Ventures, Inc CurrentSince Aug 29, 2022 Accepting new patients
Nexion Health at Kaplan, Inc. Past Accepting new patients

Locations

1325 Wright Ave
Crowley, LA 70526
Phone (337) 514-5181

1325 Wright Ave
Ste H
Crowley, LA 70526
Phone (337) 785-5440

1402 W 8th St
Kaplan, LA 70548
Phone (337) 285-6033

1216 Camellia Blvd
Lafayette, LA 70508
Phone (337) 769-0069

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

Interoperability endpoints

  • Direct secure messaging: qquebodeaux1443439@direct.ochsner.org

Organizations & group practices 4

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 7

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": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1275186165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12736 CRANE RD",
            "city": "KAPLAN",
            "state": "LA",
            "postal_code": "705487001",
            "telephone_number": "337-652-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 W 8TH ST",
            "city": "KAPLAN",
            "state": "LA",
            "postal_code": "705482918",
            "telephone_number": "337-285-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEBODEAUX",
        "first_name": "QUINN",
        "middle_name": "ALLEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-19",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2019023776",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "332738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaplan, LA

Sources for this page

Verify at the official NPI Registry.