Simone Adel Pitre, C-NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP03451 Issued in LA

Practice address

1305 N State St
Abbeville, LA 70510-2825

Phone

(337) 422-6240

Fax

(337) 422-6241

NPI assigned

Aug 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southcare Medical LLCGroup PAC ID 4789808197, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Abbeville General Hospital Hospital, Abbeville, LA, CCN 190034

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

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 and National Provider Directory roles.

• Southcare Medical LLC

  • Rural Health Clinic/Center
  • Abbeville, LA
  • NPI 1215294830
  Medicare reassignment Care Compare group NPD
• Southcare Medical LLC

  • Primary Care Clinic/Center
  • Lafayette, LA
  • NPI 1093170433
  NPD

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

• Abbeville General Hospital

  • Rural Acute Care Hospital
  • Abbeville, LA
  • NPI 1255300414
  Care Compare affiliation

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1437160231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CURRAN LN",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705067222",
            "telephone_number": "337-706-7700",
            "fax_number": "337-706-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 N STATE ST",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705102825",
            "telephone_number": "337-422-6240",
            "fax_number": "337-422-6241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Curran Ln",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705067222",
            "country_code": "US",
            "telephone_number": "337-706-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITRE",
        "first_name": "SIMONE",
        "middle_name": "ADEL",
        "credential": "C-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "67000-3451",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "AP03451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "5X9147191",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558800",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Pham
• Phillip E. Noel, M.D., Apmc
• Physical Therapy Plus of Vermilion, Inc.
• Lauren D Pilecki, PA, MMSC, PH.D.
• Dwain Paul Pitre Jr., PHARMD
• Byron Plaisance, CIT
• Poole Family Wellness Clinic LLC
• Danielle Fontenot Poole, APRN
• Anne Elizabeth Pratka, OT
• Melissa Totten Prejean, RPH

• Primary Care Nurse Practitioner in Abbeville, LA
• Providers in Abbeville, LA by specialty
• Primary Care Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.