Tiffanie Bourgeois, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

207715 Issued in LA

Practice address

2450 Severn Ave Ste 315
Metairie, LA 70001-6949

Phone

(504) 834-1655

NPI assigned

Apr 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1326677873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 REMY DR",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700685932",
            "telephone_number": "985-212-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 SEVERN AVE STE 315",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700016949",
            "telephone_number": "504-834-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURGEOIS",
        "first_name": "TIFFANIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "207715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Beu Bourgeois, M.S., LPC, ATR-BC
• Greta Bourgeois
• Jennifer Levy Bourgeois, CRNA
• Maygen Bourgeois
• Roland J Bourgeois Jr., MD
• Troy Bourgeois, PT, DPT
• Warren Roger Bourgeois III, M.D.
• Cheryln Boutan
• Diamond Boutte'
• Jenarae Elice Bowers

• Family Nurse Practitioner in Metairie, LA
• Providers in Metairie, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.