Individual provider Active NPI

Aimee Claire Arceneaux, NP

  • Nurse Practitioner
  • Morgan City, LA
National Provider Identifier
1699010710
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP07142 Issued in LA
Practice address
912 Marguerite St
Morgan City, LA 70380-1838
Phone
(985) 221-5321
NPI assigned
Nov 29, 2012
Last updated
Nov 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP07142 LA Primary

Addresses

Primary practice location

912 Marguerite St
Morgan City, LA 70380-1838

Mailing address

209 Brighton LN
Berwick, LA 70342-3139
Phone (985) 518-9056

Other identifiers 1

IdentifierTypeStateIssuer
2328069MedicaidLA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130415000073 LA Practitioner - Nurse Practitioner 4789820929 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP07142LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Emergency Physician Associates, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1699010710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 BRIGHTON LN",
            "city": "BERWICK",
            "state": "LA",
            "postal_code": "703423139",
            "telephone_number": "985-518-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 MARGUERITE ST",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801838",
            "telephone_number": "985-221-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCENEAUX",
        "first_name": "AIMEE",
        "middle_name": "CLAIRE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-29",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP07142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2328069",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan City, LA

Sources for this page

Verify at the official NPI Registry.