Nicole Gaudet Buuck

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.200404 Issued in LA

Practice address

1125 W Highway 30
Gonzales, LA 70737-5004

Phone

(225) 647-5098

NPI assigned

Dec 15, 2010

Last updated

Jul 31, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

WCS Professional Services of Louisiana LLCGroup PAC ID 7719124080, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• WCS Professional Services of Louisiana, LLC

  • Nurse Practitioner
  • Metairie, LA
  • NPI 1851644876
  Medicare reassignment Care Compare group NPD
• Restorixhealth at-Home, LLC

  • Nurse Practitioner
  • Metairie, LA
  • NPI 1255974689
  Medicare reassignment NPD
• Ascension Emergency Physicians LLC

  • Emergency Medicine Physician
  • Gonzales, LA
  • NPI 1699118505
  Medicare reassignment
• Convenient Care LLC

  dba Lake After Hours Perkins

  • Urgent Care Clinic/Center
  • Baton Rouge, LA
  • NPI 1164422630
  Medicare reassignment
• Lake Urgent Care Ascension LLC

  dba Lake Urgent Care - Ascension

  • Urgent Care Clinic/Center
  • Prairieville, LA
  • NPI 1912243122
  Medicare reassignment
• LCMC Urgent Care LLC

  • Urgent Care Clinic/Center
  • New Orleans, LA
  • NPI 1184162877
  Medicare reassignment
• Convenient Care LLC

  dba Lake After Hours Hammond

  • Urgent Care Clinic/Center
  • Hammond, LA
  • NPI 1225119225
  NPD
• Convenient Care LLC

  dba Lake After Hours Drusilla

  • Urgent Care Clinic/Center
  • Baton Rouge, LA
  • NPI 1831282722
  NPD
• Lake Urgent Care Ascension LLC

  • Urgent Care Clinic/Center
  • Saint Amant, LA
  • NPI 1487024618
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Our Lady of the Lake Hospital Inc.

  dba Our Lady of the Lake Regional Medical Center

  • General Acute Care Hospital
  • Baton Rouge, LA
  • NPI 1366436123
  Care Compare affiliation

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1366745283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14332 SOMMER LN",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707376670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 W HIGHWAY 30",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707375004",
            "telephone_number": "225-647-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUUCK",
        "first_name": "NICOLE",
        "middle_name": "GAUDET",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-15",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.200404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Mai Bui
• Lance Everett Bullock
• Quenterra Burd
• Lashawnda Burks, LCSW-BACS
• La'Quesha J Butler, LPC
• Byron Robert Rome Apdc
• C&M Medical Services-St Elizabeth LLC
• Michael Caire, MD
• Cajun Clinical Laboratory Services, LLC
• Elena M Campbell, MD

• Physician Assistant in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.