Individual provider Active NPI

Ashley Thibodeaux Romero, PA

  • Physician Assistant
  • Lafayette, LA
National Provider Identifier
1609396050
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
305568 Issued in LA
Practice address
99 W Martial Ave
Lafayette, LA 70508-6583
Phone
(337) 234-5344
NPI assigned
Jun 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 305568 LA Primary

Addresses

Primary practice location

99 W Martial Ave
Lafayette, LA 70508-6583

Mailing address

646 Braquet Rd
Carencro, LA 70520-5144
Phone (337) 230-5119

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
I20170725001716 LA Practitioner - Physician Assistant 0143590166 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lourdes After Hours LLCGroup PAC ID 5496704553, 29 clinicians

Practice addresses (Care Compare)

1821 Rees St
Breaux Bridge, LA 70517-4209
Phone (337) 442-6959

2932 Ambassador Caffery Pkwy
Suite a
Lafayette, LA 70506-6756
Phone (337) 294-0900

3824 NE Evangeline Thruway
Carencro, LA 70520-5966
Phone (337) 565-2675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
305568LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lourdes After Hours LLC CurrentSince May 21, 2019 Accepting new patients
Convenient Care LLC CurrentSince Dec 3, 2023 Accepting new patients
Convenient Care LLC CurrentSince Dec 3, 2023 Accepting new patients

Locations

12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857

3824 NE Evangeline Thruway
Carencro, LA 70520
Phone (337) 565-2675

1700 Kaliste Saloom Rd
Bldg 2
Lafayette, LA 70508
Phone (337) 534-8346

Interoperability endpoints

  • Direct secure messaging: aromero4134915@direct.casso.us.com

Organizations & group practices 5

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": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1609396050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 BRAQUET RD",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705205144",
            "telephone_number": "337-230-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 W MARTIAL AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086583",
            "telephone_number": "337-234-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "ASHLEY",
        "middle_name": "THIBODEAUX",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "305568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.