Elouise Robertson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1418 Tiger Dr
Thibodaux, LA 70301-4337

Phone

(985) 449-4055

Fax

(985) 449-4178

NPI assigned

May 7, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Magnolia Family Services LLC

  • Community/Behavioral Health Agency
  • Thibodaux, LA
  • NPI 1508982455

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1457761868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 MAGNOLIA ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703606304",
            "telephone_number": "985-879-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 TIGER DR",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014337",
            "telephone_number": "985-449-4055",
            "fax_number": "985-449-4178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Magnolia St",
            "address_purpose": "LOCATION",
            "city": "Houma",
            "state": "LA",
            "postal_code": "703606304",
            "country_code": "US",
            "telephone_number": "985-879-3966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "ELOUISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-07",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "8072",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bre'Aishala Richardson
• Victoria Rideau, BA
• William Sledge Riggins Jr., M.D., M.P.H.
• Benjamin Joseph Riviere, APRN
• Andrew Roberts, BS
• Joshonda Robertson
• Kim Robichaux-Behrend
• Abbey Elise Robichaux, BA
• Christy Pellegrin Robichaux, M.S. CCC-SLP
• Colby James Robichaux, M.A.

• Case Manager/Care Coordinator in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.