Partners in Healthcare, LLC

Organization Active NPI Adult Health Nurse Practitioner · St. Martinville, LA

NPI 1295069193 · NPPES record last updated Oct 4, 2013

Key facts

NPI
1295069193
Entity type
Organization (NPI type 2)
Primary specialty
Adult Health Nurse Practitioner 363LA2200X
License
AP04925 (LA)
Legal business name
PARTNERS IN HEALTHCARE, LLC
Practice address
407 N. Main St.
St. Martinville, LA 70582
Phone
(337) 342-2641
Fax
(337) 342-2813
NPI assigned
Sep 24, 2009
Organization subpart
No

Authorized official

Name
Mrs. Aimee Dupuis Guidry, NURSE PRACTITIONER
Title
Owner/Nurse Practitioner
Phone
(337) 342-2641

Practitioners 2

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D1105138Partners in Healthcare
407 North Main Street, Saint Martinville, LA 70582
Certificate of waiverSep 16, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20091217000154 LA Part B Supplier - Clinic/Group Practice 6002956380 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Martinville, LA

National Provider Directory

Locations

407 N Main St
St Martinvlle, LA 70582
Phone (337) 342-2641

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LA2200X AP04925 LA Yes
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LF0000X AP04425 LA

Addresses

Primary practice location

407 N. Main St.
St. Martinville, LA 70582

Mailing address

407 N. Main St.
St. Martinville, LA 70582
Phone (337) 342-2641

Other providers in St. Martinville, LA

All providers in St. Martinville, LA · Adult Health Nurse Practitioner in Louisiana

Sources for this page

Verify at the official NPI Registry.