Active NPI
Vickie Lynn Gauthier
- Psychiatric/Mental Health Registered Nurse
- Crowley, LA
National Provider Identifier
1376180455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- RN109851
- Practice address
- 713 N Avenue L
Crowley, LA 70526-3832 - Phone
- (337) 788-3330
- NPI assigned
- Dec 7, 2019
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN109851 | LA | Primary |
Addresses
Primary practice location
713 N Avenue L
Crowley, LA 70526-3832
Mailing address
PO Box 34
Cottonport, LA 71327-0034
Phone (318) 359-0342
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
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6410 Masonic Dr
Alexandria, LA 71301-2319
Phone (318) 442-3163
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN109851 | LA | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Service District No 1 Parish of Avoyelles State of Louisiana | Current | Accepting new patients | |
| Compass Mental Health MD, LLC | Current | Accepting new patients | |
| Hospital Service District No 1 Parish of Avoyelles State of Louisiana | Current | Accepting new patients |
Locations
6410 Masonic Dr
Alexandria, LA 71301
Phone (318) 442-3163
427 Evergreen St
Bunkie, LA 71322
Phone (318) 346-6681
713 N Avenue L
Crowley, LA 70526
Phone (337) 783-2859
Organizations & group practices 3
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.
-
- Psychiatric/Mental Health Clinical Nurse Specialist
- Crowley, LA
- NPI 1467779611
-
- Critical Access Hospital
- Bunkie, LA
- NPI 1316157845
-
- Clinic/Center
- Marksville, LA
- NPI 1184048373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575676800000",
"number": "1376180455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34",
"city": "COTTONPORT",
"state": "LA",
"postal_code": "713270034",
"telephone_number": "318-359-0342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 N AVENUE L",
"city": "CROWLEY",
"state": "LA",
"postal_code": "705263832",
"telephone_number": "337-788-3330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUTHIER",
"first_name": "VICKIE",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-07",
"last_updated": "2019-12-07",
"certification_date": "2019-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "LA",
"license": "RN109851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crowley, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2019; 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.