Raelyn Marie Plauche, NURSE PRACTITIONER

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

208379 Issued in LA

Practice address

1951 Florida Ave SW Ste D&E
Denham Springs, LA 70726-4947

Phone

(225) 665-0473

NPI assigned

Mar 16, 2020

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, AR2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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 and National Provider Directory roles.

• Florida Parishes Human Services Authority

  • Primary Care Clinic/Center
  • Hammond, LA
  • NPI 1679128292
  Medicare reassignment NPD
• South Arkansas Regional Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • El Dorado, AR
  • NPI 1467423384
  Medicare reassignment NPD
• Florida Parishes Human Services Authority

  • Community/Behavioral Health Agency
  • Mandeville, LA
  • NPI 1154750644
  NPD
• South Arkansas Regional Health Center

  • Primary Care Clinic/Center
  • El Dorado, AR
  • NPI 1518623073
  NPD

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1629604129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 FLORIDA AVE SW STE D&E",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264947",
            "telephone_number": "225-665-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 FLORIDA AVE SW STE D&E",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264947",
            "telephone_number": "225-665-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAUCHE",
        "first_name": "RAELYN",
        "middle_name": "MARIE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "208379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Denham Springs, LA
• Providers in Denham Springs, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.