Individual provider Active NPI

Vickie Lynn Gauthier

  • Psychiatric/Mental Health Registered Nurse
  • Crowley, LA
National Provider Identifier
1376180455
Registry record updated Dec 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RN109851 Issued in LA
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

Updated by the provider on Dec 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210127000550 LA Practitioner - Nurse Practitioner 0840604286 Reassigns benefits to 2 organizations

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
Compass Mental Health MD, LLCGroup PAC ID 7911056742, 16 clinicians

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 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN109851LAMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District No 1 Parish of Avoyelles State of Louisiana CurrentSince Sep 13, 2021 Accepting new patients
Compass Mental Health MD, LLC CurrentSince Jan 21, 2021 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.

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

Verify at the official NPI Registry.