Individual provider Active NPI

Catherine Boutte, FNP

  • Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1316347123
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP07825 Issued in LA
Practice address
443 Heymann Blvd
Ste. B
Lafayette, LA 70503-2630
Phone
(337) 289-8429
Fax
(337) 289-8431
NPI assigned
Aug 28, 2014
Last updated
Mar 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP07825 LA Primary

Addresses

Primary practice location

443 Heymann Blvd
Ste. B
Lafayette, LA 70503-2630

Mailing address

PO Box 4176
Houma, LA 70361-4176
Phone (985) 872-4865

Other identifiers 1

IdentifierTypeStateIssuer
2378104MedicaidLA

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
I20141121000928 LA Practitioner - Nurse Practitioner 2860614146 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
Abbeville General HospitalGroup PAC ID 8325933872, shared by 7 NPIs, 29 clinicians

Practice addresses (Care Compare)

2421 Alonzo St
Abbeville, LA 70510-4008
Phone (337) 892-6921

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Quality
75.42
Promoting interoperability
100
Improvement activities
40
Cost
76.1

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP07825LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abbeville General Hospital CurrentSince Apr 24, 2017 Accepting new patients
Abbeville General Hospital CurrentSince Apr 24, 2017 Accepting new patients

Locations

118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466

2419 Alonzo St
Abbeville, LA 70510
Phone (337) 892-0630

2419 Alonzo St
Bldg B
Abbeville, LA 70510

2421 Alonzo St
Abbeville, LA 70510
Phone (337) 892-6919

220 North Rd
Erath, LA 70533
Phone (337) 364-3301

207 Milton Rd
Maurice, LA 70555
Phone (337) 898-9449

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1316347123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4176",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703614176",
            "telephone_number": "985-872-4865",
            "fax_number": "985-872-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 HEYMANN BLVD",
            "address_2": "STE. B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032630",
            "telephone_number": "337-289-8429",
            "fax_number": "337-289-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTTE",
        "first_name": "CATHERINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP07825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2378104",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.