Renewed Vitality, LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

RENEWED VITALITY, LLC

Practice address

103 Robin Dale Dr
Youngsville, LA 70592-5543

Phone

(337) 250-2215

NPI assigned

Sep 13, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Emily Barousse Duhon, FNP-C

Title

Family Nurse Practitioner

Phone

(337) 250-2215

Specialties & licenses 1

Addresses

Other names 1

• Acadiana NP Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Barousse Alleman, FNP

  • Family Nurse Practitioner
  • Maurice, LA
  • NPI 1174974869
  NPD

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1609653450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ROBIN DALE DR",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925543",
            "telephone_number": "337-250-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 ROBIN DALE DR",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925543",
            "telephone_number": "337-250-2215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Flagg Pl Bldg B",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705087025",
            "country_code": "US",
            "telephone_number": "337-858-4077",
            "fax_number": "925-871-4015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENEWED VITALITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "DUHON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "BAROUSSE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "337-250-2215",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acadiana NP Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lubna Rashmawi, ICBD
• Mikaela Korinne Ray, DC
• James E Reaux, LPC
• Red Couch Counseling, LLC
• Katie Christina Refre
• Devyn Rester
• Aleyah Richard
• Ariana Anaya Richardson
• Celie Rivera, OT
• Jeanne Claire Robichaux

• Primary Care Nurse Practitioner in Youngsville, LA
• Providers in Youngsville, 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 Sep 13, 2023; 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.