Fuselier Family Clinic

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

FUSELIER FAMILY CLINIC

Practice address

302 W 4TH St Ste a
Dequincy, LA 70633-3404

Phone

(337) 222-5524

NPI assigned

Jun 7, 2024

Organization subpart

No

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

Authorized official

Name

Khristopher FuselierNPI 1326637737

Title

Psych NP

Phone

(337) 802-0747

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khristopher Paul Fuselier, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Crowley, LA
  • NPI 1326637737
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1275375784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W 4TH ST STE A",
            "city": "DEQUINCY",
            "state": "LA",
            "postal_code": "706333404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W 4TH ST STE A",
            "city": "DEQUINCY",
            "state": "LA",
            "postal_code": "706333404",
            "telephone_number": "337-222-5524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSELIER FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "FUSELIER",
        "authorized_official_first_name": "KHRISTOPHER",
        "authorized_official_title_or_position": "PSYCH NP",
        "authorized_official_telephone_number": "337-802-0747"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dequincy Medical Associates
• Dequincy Memorial Hospital
• Dequincy Memorial Hospital Inc
• Dequincy Memorial Hospital,Inc
• Dequincy Memorial Hospital,Inc
• Megan Berry Gallien, DPT
• Kayla Dailey Gaspard, NP
• Greater Blessings Transportation LLC
• Jasmine Elizabeth Griffin
• Kevin Michael Hamilton, DDS

• Psychiatric/Mental Health Nurse Practitioner in Dequincy, LA
• Providers in Dequincy, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.