Health Boutique

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

HEALTH BOUTIQUE

Practice address

606 Latiolais Dr Unit a
Breaux Bridge, LA 70517-4231

Phone

(337) 414-6463

Fax

(337) 414-6483

NPI assigned

Jun 13, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Mhykeisha Katrese Evans-George, FNP-CNPI 1750881116

Title

Sole Member/Owner

Phone

(318) 458-4523

Specialties & licenses 1

Addresses

Other names 1

• HEALTH BOUTIQUE LLC Other name

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 1

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

• Mhykeisha Evans-George, NP

  • Family Nurse Practitioner
  • Crowley, LA
  • NPI 1750881116
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1649166984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 TIMBERLAND RIDGE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705072746",
            "telephone_number": "318-458-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 LATIOLAIS DR UNIT A",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705174231",
            "telephone_number": "337-414-6463",
            "fax_number": "337-414-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "EVANS-GEORGE",
        "authorized_official_first_name": "MHYKEISHA",
        "authorized_official_middle_name": "KATRESE",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "318-458-4523",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTH BOUTIQUE LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Family Nurse Practitioner in Breaux Bridge, LA
• Providers in Breaux Bridge, 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 Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.