Blair Boudreaux, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP08933 Issued in LA

Practice address

15790 Paul Vega MD Dr
Emergency Department
Hammond, LA 70403-1434

Phone

(985) 230-1360

Fax

(985) 230-1361

NPI assigned

Aug 28, 2016

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 names 1

• Blair Duplesis Other name

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maxem Health Urgent Care HammondGroup PAC ID 3375824295, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: blair.boudreaux.1@19700.direct.athenahealth.com

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.

• Maxem Health Urgent Care Hammond

  dba Hammond Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Hammond, LA
  • NPI 1376094128
  Medicare reassignment Care Compare group NPD
• St Tammany Emergency Physicians Group LLC

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1891187654
  Medicare reassignment NPD
• Washington Parish Emergency Physicians Group LLC

  • Emergency Medicine Physician
  • Bogalusa, LA
  • NPI 1538511043
  Medicare reassignment NPD
• B & W Healthcare LLC

  dba Family Healthcare of Bedico

  • Rural Health Clinic/Center
  • Ponchatoula, LA
  • NPI 1609439884

  Family

  NPD (past)
• Maxem Health Urgent Care Slidell

  dba Slidell Urgent Care

  • Urgent Care Clinic/Center
  • Slidell, LA
  • NPI 1619409158
  NPD (past)
• North Oaks Physician Group, LLC

  dba North Oaks Urgent Care Clinic

  • Urgent Care Clinic/Center
  • Hammond, LA
  • NPI 1144817487
  NPD (past)

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472342400000",
    "number": "1407302797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15790 PAUL VEGA MD DRIVE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031434",
            "telephone_number": "985-230-1360",
            "fax_number": "985-230-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15790 PAUL VEGA MD DR",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031434",
            "telephone_number": "985-230-1360",
            "fax_number": "985-230-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDREAUX",
        "first_name": "BLAIR",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLAIR",
            "last_name": "DUPLESIS",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alyson Rose Bordelon
• Jessica Bosch Bordelon, APRN
• Lisa G. Bordok, SPEECH PATHOLOGIST
• Julie Ann Dardar Borrouso, PHARM D
• Frances Honelle Boudreaux-Pearson, RPH
• Monica Isabelle Boudreaux
• Terri L Boudreaux
• Meredith Boudreux
• Lorris J Bouzigard, ACNP
• Terrilynn St Pierre Bowe, LPC

• Family Nurse Practitioner in Hammond, LA
• Providers in Hammond, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.