Individual provider Active NPI

Stephanie Perrodin Arceneaux, N.P.

  • Adult Health Nurse Practitioner
  • Opelousas, LA
National Provider Identifier
1285801662
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
55677-5443 Issued in LA
Practice address
1270 Attakapas Dr
Suite 103-C
Opelousas, LA 70570-6549
Phone
(337) 942-2822
Fax
(337) 942-5822
NPI assigned
May 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 55677-5443 LA Primary

Addresses

Primary practice location

1270 Attakapas Dr
Suite 103-C
Opelousas, LA 70570-6549

Mailing address

1270 Attakapas Dr
Suite 103-C
Opelousas, LA 70570-6549
Phone (337) 942-2822

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
I20090610000057 LA Practitioner - Nurse Practitioner 6103976303 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55677-5443LAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
GBR, LLC CurrentSince Sep 11, 2011 Accepting new patients
Coolidge Physician Services LLC CurrentSince Jul 5, 2015 Accepting new patients

Locations

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

155 Hospital Dr
Ste 101
Lafayette, LA 70503
Phone (337) 234-3204

Interoperability endpoints

  • Direct secure messaging: sarceneaux1452214@direct.ochsner.org

Organizations & group practices 2

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": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1285801662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 ATTAKAPAS DR",
            "address_2": "SUITE 103-C",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706549",
            "telephone_number": "337-942-2822",
            "fax_number": "337-942-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 ATTAKAPAS DR",
            "address_2": "SUITE 103-C",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706549",
            "telephone_number": "337-942-2822",
            "fax_number": "337-942-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCENEAUX",
        "first_name": "STEPHANIE",
        "middle_name": "PERRODIN",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "55677-5443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.