Alexis Bourgeois, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP211435 Issued in LA

Practice address

1115 Weber St
Franklin, LA 70538-4124

Phone

(337) 828-2550

Fax

(337) 355-2335

NPI assigned

Feb 18, 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

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Teche Action Board Inc 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Alexis Bourgeois LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • New Iberia, LA
  • NPI 1356007637

  LA, Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Teche Action Board Inc

  • Federally Qualified Health Center (FQHC)
  • Franklin, LA
  • NPI 1174579262

  LA

  Medicare reassignment Care Compare group NPD
• Teche Action Board, Inc.

  • Federally Qualified Health Center (FQHC)
  • Reserve, LA
  • NPI 1255788428
  Care Compare group NPD
• Teche Action Board, Inc.

  • Federally Qualified Health Center (FQHC)
  • Houma, LA
  • NPI 1770308736
  Care Compare group NPD
• Teche Action Board Inc

  • Federally Qualified Health Center (FQHC)
  • Morgan City, LA
  • NPI 1124307566
  Care Compare group NPD (past)
• Teche Action Board, Inc.

  • Federally Qualified Health Center (FQHC)
  • Houma, LA
  • NPI 1215974019
  Care Compare group NPD (past)
• Teche Action Board, Inc.

  • Federally Qualified Health Center (FQHC)
  • Thibodaux, LA
  • NPI 1356767420
  Care Compare group NPD (past)
• Teche Action Board, Inc.

  • Federally Qualified Health Center (FQHC)
  • Vacherie, LA
  • NPI 1649914763
  Care Compare group NPD (past)
• Teche Action Board, Inc.

  • Federally Qualified Health Center (FQHC)
  • Houma, LA
  • NPI 1659319135
  Care Compare group NPD (past)
• Teche Action Board, Inc.

  • Federally Qualified Health Center (FQHC)
  • Gramercy, LA
  • NPI 1801433883
  Care Compare group NPD (past)
• Teche Action Board Inc

  • Federally Qualified Health Center (FQHC)
  • Reserve, LA
  • NPI 1386880433
  Care Compare group
• Teche Action Board Inc

  • Federally Qualified Health Center (FQHC)
  • Pierre Part, LA
  • NPI 1972746964
  Care Compare group

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1346873403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 WEBER ST",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705384124",
            "telephone_number": "337-828-2550",
            "fax_number": "337-355-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 WEBER ST",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705384124",
            "telephone_number": "337-828-2550",
            "fax_number": "337-355-2335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1709 Ridgefield Rd",
            "address_purpose": "LOCATION",
            "city": "Thibodaux",
            "state": "LA",
            "postal_code": "703014333",
            "country_code": "US",
            "telephone_number": "985-446-7341 x98543",
            "fax_number": "985-446-3773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1124 7th St",
            "address_purpose": "LOCATION",
            "city": "Morgan City",
            "state": "LA",
            "postal_code": "703801951",
            "country_code": "US",
            "telephone_number": "985-384-2371 x33782",
            "fax_number": "985-384-2645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOURGEOIS",
        "first_name": "ALEXIS",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP211435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1B3428",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2520644",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Marie Billiot
• Bio-Medical Applications of Louisiana, LLC
• Blended Transportation, LLC
• Kristen Bodin
• John Neal Boudreaux, DDS
• Ronald Joseph Bourgeois, PHARMACIST
• Courtni Michelle Breaux
• Lindsey Catherine Breaux, BCBA
• Michelle L Broadbent, NP
• Wilfred Broussard, P.AP

• All providers in Franklin, LA
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.

Verify at the official NPI Registry.