Active NPI
Elizabeth Ann Pieprzica-Boudreaux, D.C.
- Chiropractor
- Victoria, TX
National Provider Identifier
1689041006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12998
- Practice address
- 114 N Main St
Victoria, TX 77901 - Phone
- (361) 570-5700
- Fax
- (855) 255-9006
- NPI assigned
- Sep 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 12998 | TX | Primary |
Addresses
Primary practice location
114 N Main St
Victoria, TX 77901
Mailing address
114 N Main St
Victoria, TX 77901-6501
Phone (361) 570-5700
Other practice location 1
300 Airline
Victoria, TX 77901
Phone (361) 575-5700
Other names 1
- Betsy Boudreaux
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1689041006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 N MAIN ST",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779016501",
"telephone_number": "361-570-5700",
"fax_number": "855-255-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 N MAIN ST",
"city": "VICTORIA",
"state": "TX",
"postal_code": "77901",
"telephone_number": "361-570-5700",
"fax_number": "855-255-9006"
}
],
"practiceLocations": [
{
"address_1": "300 Airline",
"address_purpose": "LOCATION",
"city": "Victoria",
"state": "TX",
"postal_code": "77901",
"country_code": "US",
"telephone_number": "361-575-5700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIEPRZICA-BOUDREAUX",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "12998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BETSY",
"last_name": "BOUDREAUX",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.