Edie B Pourciau, ANP-BC,PMHNP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP05466 Issued in LA

Practice address

500 Patterson St
Lafayette, LA 70501-1849

Phone

(337) 769-9451

Fax

(337) 769-9460

NPI assigned

Jan 16, 2008

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Edie B Boudreaux Former name

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

Master of Arts, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edie Boudreaux LLC

  dba Edie B. Pourciau, NP

  • Multi-Specialty Clinic/Center
  • New Iberia, LA
  • NPI 1457769358

  Registered Nurse

  NPD Authorized official
• Angela Langlimais MD Apmc

  • Family Medicine Physician
  • New Iberia, LA
  • NPI 1518031319
  NPD (past)
• Progressive Acute Care Physician Services Dauterive LLC

  dba Legacy Medical Group

  • Family Medicine Physician
  • New Iberia, LA
  • NPI 1396911558
  NPD (past)
• Stephanie C. Badon, LLC

  dba Stephanie C. Badon, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • New Iberia, LA
  • NPI 1194484402
  NPD (past)

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1659557940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9227",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705629227",
            "telephone_number": "337-608-9922",
            "fax_number": "337-608-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PATTERSON ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705011849",
            "telephone_number": "337-769-9451",
            "fax_number": "337-769-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POURCIAU",
        "first_name": "EDIE",
        "middle_name": "B",
        "credential": "ANP-BC,PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2026-09-29",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "AP05466",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP05466",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN102783",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1309877",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11849024",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2515256",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDIE",
            "last_name": "BOUDREAUX",
            "middle_name": "B",
            "credential": "ANP-BC,PMHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julia Caroline Potier, OT
• Marguerite Potier, CRNA
• Shanitra Angelle Potier
• Toby Brandon Potier, FNP-C
• Glenda Gravouilla Poulan, LRST
• Alonzo T. Powell Sr.
• David William Powell, MD
• Nona Powell
• Brianna Threeton Powers, MS, CCC-SLP
• Leah Prados-Istre, LMT

• Adult Health Nurse Practitioner in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Adult Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.