Active NPI
Brittany Lynn Boudreaux, D.O.
- Nephrology Physician
- Metairie, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 320001
- 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, 2024
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 320001 | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| New Orleans Nephrology Associates LLC | Nephrology | Current | Accepting new patients |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | 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
- 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.
-
- Nephrology Physician
- Metairie, LA
- NPI 1437254984
-
dba LSU Healthcare Network
- Multi-Specialty Clinic/Center
- New Orleans, LA
- NPI 1477582526
-
dba Lsu Healthcare Network
- Durable Medical Equipment & Medical Supplies
- Kenner, LA
- NPI 1316417629
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fresenius Medical Care Kenner
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Kenner, LA
- NPI 1447381280
Dialysis facility
-
dba East Jefferson Artificial Kidney Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Metairie, LA
- NPI 1578675310
Dialysis facility
-
dba Fresenius Kidney Care New Orleans Uptown
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- New Orleans, LA
- NPI 1629583281
Dialysis facility
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
-
dba East Jefferson General Hospital
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
-
dba Lakeview Regional Behavioral Health
- Psychiatric Hospital Unit
- Covington, LA
- NPI 1790722825
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.