Audrey Bon Stansbury, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN06788-AP06419 Issued in LA

Practice address

5760 Monticello Dr
Saint Gabriel, LA 70776-4412

Phone

(225) 247-3491

Fax

(225) 756-5335

NPI assigned

Mar 22, 2011

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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, 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.

• HIV-AIDS Alliance for Region Two

  • Federally Qualified Health Center (FQHC)
  • Baton Rouge, LA
  • NPI 1437527900
  Medicare reassignment
• HIV-AIDS Alliance for Region Two

  • Federally Qualified Health Center (FQHC)
  • Denham Springs, LA
  • NPI 1801402433
  NPD
• HIV-AIDS Alliance for Region Two

  • Federally Qualified Health Center (FQHC)
  • Baton Rouge, LA
  • NPI 1316704000
  NPD (past)

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1649579251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9049 SMOKE ROCK DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708176962",
            "telephone_number": "225-247-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5760 MONTICELLO DR",
            "city": "SAINT GABRIEL",
            "state": "LA",
            "postal_code": "707764412",
            "telephone_number": "225-247-3491",
            "fax_number": "225-756-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANSBURY",
        "first_name": "AUDREY",
        "middle_name": "BON",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "RN06788-AP06419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2147684",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johnny Francois Prejean Jr.
• Pamela B. Ross, WHNP
• Norma Seguin
• Polly Bush Smith, FNP-C
• St Gabriel Health Clinic Inc
• Diana W. Ware, MS, PLPC
• Brittany Burdsall West, OT
• Joshua White
• Lisa Zobrist Wilson, APRN-C
• Dedrick Wolfe

• Pediatric Nurse Practitioner in Saint Gabriel, LA
• Providers in Saint Gabriel, LA by specialty
• Pediatric Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.