Active NPI
Lindsay A Dufresne, PA-C
- Physician Assistant
- Thibodaux, LA
National Provider Identifier
1346855715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 324325
- Practice address
- 602 N Acadia Rd
Thibodaux, LA 70301-4823 - Phone
- (985) 447-5500
- NPI assigned
- Sep 12, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 324325 | LA | Primary |
Addresses
Primary practice location
602 N Acadia Rd
Thibodaux, LA 70301-4823
Mailing address
PO Box 1162
Gramercy, LA 70052-1162
Phone (225) 772-7893
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Lafayette Chiropractic Institute, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Picciola Pkwy
Cut Off, LA 70345-3572
Phone (985) 446-5888
1731 Lutcher Ave
Lutcher, LA 70071-5151
Phone (985) 446-5888
416 Hwy 308
Thibodaux, LA 70301-5752
Phone (985) 446-5888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 324325 | LA | MD | Physician Assistant |
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 and National Provider Directory roles.
-
- Dermatology Physician
- Thibodaux, LA
- NPI 1548601016
-
- Emergency Medicine Physician
- Thibodaux, LA
- NPI 1568910503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599868800000",
"number": "1346855715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1162",
"city": "GRAMERCY",
"state": "LA",
"postal_code": "700521162",
"telephone_number": "225-772-7893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 N ACADIA RD",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703014823",
"telephone_number": "985-447-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFRESNE",
"first_name": "LINDSAY",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-12",
"last_updated": "2020-09-12",
"certification_date": "2020-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "324325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thibodaux, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2020; 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.