Lisa Boudreaux Alexander, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP07493 Issued in LA

Practice address

4141 N University Ave
Carencro, LA 70520-4204

Phone

(337) 565-2692

Fax

(337) 565-2704

NPI assigned

Aug 19, 2013

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Pediatric Group of Acadiana LLC

  dba Pediatric Group of Acadiana & Church Point Clinic

  • Rural Health Clinic/Center
  • Church Point, LA
  • NPI 1619471463

  W-2 Managing Employee

  CMS ownership

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.

• Pediatric Group of Acadiana, LLC

  • Specialist
  • Lafayette, LA
  • NPI 1265499628
  Medicare reassignment NPD
• Pediatric Group of Acadiana LLC

  dba Kaplan Family Care Clinic

  • Rural Health Clinic/Center
  • Kaplan, LA
  • NPI 1922619238
  NPD
• Pediatric Group of Acadiana LLC

  dba Pediatric Group of Acadiana & Church Point Clinic

  • Rural Health Clinic/Center
  • Church Point, LA
  • NPI 1619471463
  NPD (past)

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1649603291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 YOUNGSVILLE HWY",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085173",
            "telephone_number": "337-330-0031",
            "fax_number": "337-330-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 N UNIVERSITY AVE",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705204204",
            "telephone_number": "337-565-2692",
            "fax_number": "337-565-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "LISA",
        "middle_name": "BOUDREAUX",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP07493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2343289",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean'-Paul Abshire, DC
• Acadiana Intraoperative Monitoring
• Emmanuel B Adeyanju, RPT
• Adult Day Health Care of Carencro, Inc.
• Advance Transports of la.
• Brandi Nicole Alleman, FNP-C
• Alliance Escort, LLP (Alliance Escort)
• Alliance Therapeutic Group LLC (Alliance Therapeutic Group)
• Davonia Alsandor
• Alternative Perspectives, LLC

• Nurse Practitioner in Carencro, LA
• Providers in Carencro, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.