Individual provider Active NPI

Lauren Davis Dufour, FNP

  • Family Nurse Practitioner
  • Covington, LA
National Provider Identifier
1508408477
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
222183 Issued in LA
Practice address
1116 W 21St Ave
Covington, LA 70433-7407
Phone
(985) 892-3031
NPI assigned
Oct 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 059936 LA
Family Nurse Practitioner 363LF0000X 222183 LA Primary

Addresses

Primary practice location

1116 W 21St Ave
Covington, LA 70433-7407

Mailing address

110 North Dr
Covington, LA 70433-4809
Phone (984) 807-4364

Other practice location 1

800 N Causeway Blvd # 300
Mandeville, LA 70448-4664
Phone (985) 807-4364

Other practice location 2

121 Lakeview Cir Ste A
Covington, LA 70433-7521
Phone (985) 323-4993

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
I20220316003936 LA Practitioner - Nurse Practitioner 8426443078 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
059936LAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Aust Medical LLC CurrentSince Feb 1, 2022 Accepting new patients

Locations

3434 Houma Blvd
Ste C
Metairie, LA 70006

740 Gause Blvd
Slidell, LA 70458
Phone (504) 646-0945

1375 Corporate Square Dr
Slidell, LA 70458
Phone (985) 726-2655

2000 Audubon Ave
Ste B
Thibodaux, LA 70301

Organizations & group practices 1

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": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1508408477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 NORTH DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704334809",
            "telephone_number": "984-807-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 W 21ST AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337407",
            "telephone_number": "985-892-3031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 N Causeway Blvd # 300",
            "address_purpose": "LOCATION",
            "city": "Mandeville",
            "state": "LA",
            "postal_code": "704484664",
            "country_code": "US",
            "telephone_number": "985-807-4364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Lakeview Cir Ste A",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704337521",
            "country_code": "US",
            "telephone_number": "985-323-4993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUFOUR",
        "first_name": "LAUREN",
        "middle_name": "DAVIS",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "059936",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "222183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.