Individual provider Active NPI

Monique Bianca Declouet-Dixon, FNP

  • Family Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1336475813
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP059059 Issued in LA
Practice address
2001 Moss St Ste 1200
Lafayette, LA 70501
Phone
(337) 761-0211
Fax
(337) 227-6272
NPI assigned
Oct 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP059059 LA Primary

Addresses

Primary practice location

2001 Moss St Ste 1200
Lafayette, LA 70501

Mailing address

PO Box 740012
Atlanta, GA 30374-0012
Phone (312) 733-9730

Other practice location 1

536 St. Landry Veterans Memorial Hwy
Washington, LA 70589
Phone (337) 628-5014

Other identifiers 1

IdentifierTypeStateIssuer
1820105MedicaidLA

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
I20100518000383 LA Practitioner - Nurse Practitioner 6901934694 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
AP059059LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dixon Family Medical Center, LLC Family Current Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Dec 1, 2019 Accepting new patients
Nova Physician Group PLLC CurrentSince Apr 28, 2025 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Dec 1, 2019 Accepting new patients
Oak Street Health Physicians Group of Louisiana LLC Family CurrentSince Apr 28, 2025 Accepting new patients
Osh-in Physicians Group, PC Family Past Accepting new patients

Locations

5151 Plank Rd
Ste 210
Baton Rouge, LA 70805
Phone (225) 500-7028

2001 Moss St
Ste 1200
Lafayette, LA 70501
Phone (337) 761-0211

6521 Airline Dr
Metairie, LA 70003
Phone (504) 534-1226

1110 E Saint Peter St
New Iberia, LA 70560
Phone (337) 364-1166

536 Veterans Blvd
Washington, LA 70589
Phone (337) 628-5014

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1336475813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740012",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740012",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MOSS ST STE 1200",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70501",
            "telephone_number": "337-761-0211",
            "fax_number": "337-227-6272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "536 St. Landry Veterans Memorial Hwy",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "LA",
            "postal_code": "70589",
            "country_code": "US",
            "telephone_number": "337-628-5014",
            "fax_number": "337-826-5401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECLOUET-DIXON",
        "first_name": "MONIQUE",
        "middle_name": "BIANCA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP059059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1820105",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.