Alexis Bourgeois LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ALEXIS BOURGEOIS LLC

Practice address

605 S Lewis St
New Iberia, LA 70560-4820

Phone

(337) 889-3682

Fax

(337) 806-9339

NPI assigned

Nov 11, 2021

Last updated

Nov 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Alexis Bourgeois, NPNPI 1346873403

Title

Owner-President

Phone

(337) 889-3682

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexis Bourgeois, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Franklin, LA
  • NPI 1346873403
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1356007637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 RUE FONTAINE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085742",
            "telephone_number": "337-889-3682",
            "fax_number": "337-806-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S LEWIS ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604820",
            "telephone_number": "337-889-3682",
            "fax_number": "337-806-9339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Rue Fontaine",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705085742",
            "country_code": "US",
            "telephone_number": "337-889-3682",
            "fax_number": "337-806-9339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALEXIS BOURGEOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "BOURGEOIS",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "OWNER-PRESIDENT",
        "authorized_official_telephone_number": "337-889-3682",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gavael Alexander
• Jonesha Alexander
• Jyranne Faith Alexander
• Marnell P Alexander, REGISTERED NURSE
• Wade Dewayne Alexander, NP
• Janae Allen
• Michael Roy Allen, LCSW
• Lisa D. Altmann, M.D.
• Luis E Alvarez, M.D.
• Courtney Elizabeth Ambroise, PHARMD

• Psychiatric/Mental Health Nurse Practitioner in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.