Active NPI
Charmetria Mouton
- Health Educator
- Lafayette, LA
National Provider Identifier
1285530360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 100 Shadycrest Ave
Lafayette, LA 70501-7748 - Phone
- (337) 399-2908
- NPI assigned
- Oct 16, 2026
- Last updated
- Oct 16, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 30004977 | LA | |
| Health Educator | 174H00000X | LA | Primary |
Addresses
Primary practice location
100 Shadycrest Ave
Lafayette, LA 70501-7748
Mailing address
100 Shadycrest Ave
Lafayette, LA 70501-7748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792108800000",
"number": "1285530360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SHADYCREST AVE",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705017748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SHADYCREST AVE",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705017748",
"telephone_number": "337-399-2908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUTON",
"first_name": "CHARMETRIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-16",
"last_updated": "2026-10-16",
"certification_date": "2026-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "LA",
"license": "30004977",
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.