Active NPI
Clayton Bossier, N.P.
- Family Nurse Practitioner
- Cut Off, LA
National Provider Identifier
1730128166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP04056
- Practice address
- 144 W 134TH St
Cut Off, LA 70345-4155 - Phone
- (985) 632-6233
- Fax
- (985) 632-7526
- NPI assigned
- Jun 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP04056 | LA | Primary |
Addresses
Primary practice location
144 W 134TH St
Cut Off, LA 70345-4155
Mailing address
144 W 134TH St
Cut Off, LA 70345-4155
Phone (985) 632-6233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1133558 | Medicaid | LA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040331001281 | LA | Practitioner - Nurse Practitioner | 1254241219 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafourche Parish Hospital Service District No.1 | Current | Accepting new patients | |
| Lafourche Parish Hospital Service District No. 1 | Current | Accepting new patients | |
| Lafourche Parish Hospital Service District No.1 | Current | Accepting new patients | |
| Lafourche Parish Hospital Service District No.1 | Past | Accepting new patients | |
| Lafourche Parish Hospital Service District No. 1 | Past | Accepting new patients |
Locations
144 W 134th St
Cut Off, LA 70345
Phone (985) 325-9750
200 W 134th Pl
Cut Off, LA 70345
Phone (985) 325-9300
144 W 134th Pl
Cut Off, LA 70345
Phone (985) 325-9750
Interoperability endpoints
- clayton.bossier.1@748.direct.athenahealth.com
Organizations & group practices 9
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.
-
- Rural Health Clinic/Center
- Cut Off, LA
- NPI 1902846603
LA
-
- Emergency Medicine Physician
- Cut Off, LA
- NPI 1831260793
LA
-
- Medicare Defined Swing Bed Hospital Unit
- Cut Off, LA
- NPI 1043358120
-
- Rural Health Clinic/Center
- Larose, LA
- NPI 1932256542
-
- Home Health Agency
- Cut Off, LA
- NPI 1376547653
-
- Critical Access Hospital
- Cut Off, LA
- NPI 1407883341
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Cut Off, LA
- NPI 1497737258
-
- Community/Retail Pharmacy
- Cut Off, LA
- NPI 1285021519
-
- Critical Access Hospital
- Cut Off, LA
- NPI 1922005842
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Cut Off, LA
- NPI 1376547653
-
- Critical Access Hospital
- Cut Off, LA
- NPI 1407883341
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lafourche Parish Hospital Service District No 1
Practice addresses (Care Compare)
144 W 134TH PL
Cut Off, LA 70345-4128
Phone (985) 632-6233
Hospital & facility affiliations
- Lady of the Sea Home Health Agency
- Lady of the Sea General Hospital
- Ochsner St Anne General Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440115200000",
"number": "1730128166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 W 134TH ST",
"city": "CUT OFF",
"state": "LA",
"postal_code": "703454155",
"telephone_number": "985-632-6233",
"fax_number": "985-632-7526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 W 134TH ST",
"city": "CUT OFF",
"state": "LA",
"postal_code": "703454155",
"telephone_number": "985-632-6233",
"fax_number": "985-632-7526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSSIER",
"first_name": "CLAYTON",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2015-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP04056",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1133558",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cut Off, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.