Ashley Dupre Boudreaux, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

224028 Issued in LA

Practice address

455 E Airport Ave
Baton Rouge, LA 70806-4832

Phone

(225) 683-1320

Fax

(225) 683-2411

NPI assigned

Mar 4, 2022

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baton Rouge Clinic, a Medical CorporationGroup PAC ID 1254317001, 285 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ashley.boudreaux.p1@direct.rkmprimarycare.nextgenshare.com

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.

• Baton Rouge Clinic, a Medical Corporation

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1871546911
  Medicare reassignment Care Compare group NPD
• Baton Rouge Clinic, a Medical Corporation

  • Ophthalmology Physician
  • Baton Rouge, LA
  • NPI 1528941655
  NPD

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1639826183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4613 SARA DAY ST",
            "city": "NAPOLEONVILLE",
            "state": "LA",
            "postal_code": "703908524",
            "telephone_number": "985-513-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E AIRPORT AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064832",
            "telephone_number": "225-683-1320",
            "fax_number": "225-683-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDREAUX",
        "first_name": "ASHLEY",
        "middle_name": "DUPRE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "224028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Boucher, FNP-C
• Myrna C. Bouchereau, L.P.T.
• Ryan Boudreau
• Alana Amedee Boudreaux, NP
• Allyson H Boudreaux, MD
• Brynlee Boudreaux
• Chanice Unchelle Boudreaux, LMT
• Daniel Christopher Boudreaux, PA-C
• Danielle Boudreaux, BCBA, LBA
• David A Boudreaux

• Family Nurse Practitioner in Baton Rouge, LA
• Providers in Baton Rouge, 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 Mar 4, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.