Lisa Breaux, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP07972 Issued in LA

Practice address

2000 Opelousas St
Lake Charles, LA 70601-2641

Phone

(337) 439-9983

Fax

(337) 439-8898

NPI assigned

Sep 24, 2014

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Professional Emergency Medicine Management -- Lake Charles LLC

  • Emergency Medicine Physician
  • Lake Charles, LA
  • NPI 1023430766
  Medicare reassignment NPD
• Applegate Health Services, Inc.

  dba AppleGate Recovery of Lake Charles

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lake Charles, LA
  • NPI 1346775210
  Medicare reassignment
• Applegate Health Services, Inc

  dba AppleGate Recovery Oakdale

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Oakdale, LA
  • NPI 1548893563
  NPD
• Applegate Health Services, Inc.

  dba AppleGate Recovery Jasper

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Jasper, AL
  • NPI 1891494415
  NPD
• Swla Center for Health Services

  dba SWLA Center For H. S. - Crowley

  • Federally Qualified Health Center (FQHC)
  • Crowley, LA
  • NPI 1336383033
  NPD (past)

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1497157200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 JOHN F KENNEDY DR",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705263264",
            "telephone_number": "337-783-5519",
            "fax_number": "337-783-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OPELOUSAS ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706012641",
            "telephone_number": "337-439-9983",
            "fax_number": "337-439-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREAUX",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Paul Bray, LPC
• Charles J Brdlik, M.D.
• Breaux Internal Medicine and Pediatric Clinic
• Adrienne Lynn Breaux, M.D.
• Jason Paul Breaux, C.R.N.A.
• Mallory Breaux
• Rachel Breaux
• Tamara Prince Breaux, PHARMD
• Annalise R Bricca, MD
• Koni Breaux Bridges, LCSW

• Family Nurse Practitioner in Lake Charles, LA
• Providers in Lake Charles, 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 Sep 24, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.