Individual provider Active NPI

Brittany Lynn Boudreaux, D.O.

  • Nephrology Physician
  • Metairie, LA
National Provider Identifier
1326589508
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
320001 Issued in LA
Practice address
4409 Utica St Ste 100
Metairie, LA 70006-6579
Phone
(504) 457-3687
Fax
(504) 620-0250
NPI assigned
Mar 20, 2017
Last updated
Mar 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 320001 LA
Nephrology Physician 207RN0300X 320001 LA Primary

Addresses

Primary practice location

4409 Utica St Ste 100
Metairie, LA 70006-6579

Mailing address

4409 Utica St Ste 100
Metairie, LA 70006-6579
Phone (504) 457-3687

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200326002938 LA Practitioner - Hospitalist 9335417724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Lincoln Memorial University Medical Department, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Orleans Nephrology Associates LLCGroup PAC ID 8224070719, 12 clinicians

Practice addresses (Care Compare)

2500 Louisiana Ave
New Orleans, LA 70115-6036
Phone (504) 891-3533

2717 Decatur St
Kenner, LA 70062-5025
Phone (504) 469-1075

3030 N Arnoult Rd
Metairie, LA 70002-4715
Phone (504) 457-3498

4200 Houma Blvd
Metairie, LA 70006-2970
Phone (504) 454-4855

4409 Utica St
Suite 100
Metairie, LA 70006-6530

4409 Utica St
Suite 100
Metairie, LA 70006-6579
Phone (504) 457-3687

4425 Utica St
Metairie, LA 70006-6530
Phone (504) 455-5535

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
320001LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Mar 1, 2020 Accepting new patients
New Orleans Nephrology Associates LLC Nephrology CurrentSince Jul 1, 2023 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Mar 1, 2020 Accepting new patients

Locations

4409 Utica St
Ste 100
Metairie, LA 70006
Phone (504) 457-3687

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

1542 Tulane Ave
#T4M2
New Orleans, LA 70112
Phone (504) 568-2577

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

Interoperability endpoints

  • Direct secure messaging: bboudreaux53026@direct.acumenmd.com

Organizations & group practices 3

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 7

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": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1326589508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 UTICA ST STE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700066579",
            "telephone_number": "504-457-3687",
            "fax_number": "504-620-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 UTICA ST STE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700066579",
            "telephone_number": "504-457-3687",
            "fax_number": "504-620-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDREAUX",
        "first_name": "BRITTANY",
        "middle_name": "LYNN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "320001",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "320001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.