Active NPI
Christine Boutte
- Family Nurse Practitioner
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 101637-7753
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992747349 | Other | LA | NPI |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 101637-7753 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swla Center for Health Services | Current | Accepting new patients | |
| Swla Center for Health Services | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Lake Charles, LA
- NPI 1720014186
-
- Community Health Clinic/Center
- Opelousas, LA
- NPI 1093843187
-
- Pediatrics Physician
- Lafayette, LA
- NPI 1366111791
-
- Pediatrics Physician
- Lafayette, LA
- NPI 1528730355
-
- Federally Qualified Health Center (FQHC)
- New Iberia, LA
- NPI 1922046549
-
dba All Kids Pediatric of Opelousas
- Federally Qualified Health Center (FQHC)
- Opelousas, LA
- NPI 1508213000
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.