Individual provider Active NPI

Christine Boutte

  • Family Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1285049759
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101637-7753 Issued in LA
Practice address
2804 Ambassador Caffery Pkwy
Lafayette, LA 70506-5906
Phone
(337) 981-5156
Fax
(337) 981-0673
NPI assigned
Jun 24, 2014
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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 101637-7753 LA Primary

Addresses

Primary practice location

2804 Ambassador Caffery Pkwy
Lafayette, LA 70506-5906

Mailing address

2804 Ambassador Caffery Pkwy
Lafayette, LA 70506-5906
Phone (337) 981-5156

Other identifiers 1

IdentifierTypeStateIssuer
1992747349OtherLANPI

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
I20141230001910 LA Practitioner - Nurse Practitioner 6406179233 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swla Center for Health ServicesGroup PAC ID 9133029853, 26 clinicians

Practice addresses (Care Compare)

500 Patterson St
Lafayette, LA 70501-1849
Phone 33776994511674

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101637-7753LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Swla Center for Health Services CurrentSince Aug 11, 2025 Accepting new patients
Swla Center for Health Services CurrentSince Aug 11, 2025 Accepting new patients
Swla Center for Health Services Current Accepting new patients
Southwest Louisiana Primary Health Care Center, Inc Past Accepting new patients
Iberia Comprehensive Community Health Center,Inc. Past Accepting new patients

Locations

526 Crowley Rayne Hwy
Crowley, LA 70526
Phone (337) 783-1791

500 Patterson St
Lafayette, LA 70501
Phone (337) 769-9451

2000 Opelousas St
Lake Charles, LA 70601
Phone (318) 439-9983

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1285049759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 AMBASSADOR CAFFERY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705065906",
            "telephone_number": "337-981-5156",
            "fax_number": "337-981-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 AMBASSADOR CAFFERY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705065906",
            "telephone_number": "337-981-5156",
            "fax_number": "337-981-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTTE",
        "first_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "101637-7753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992747349",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.