Individual provider Active NPI

Rebecca B Theriot, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1730431297
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP07092 Issued in LA
Practice address
800 Kaliste Saloom Rd
Lafayette, LA 70508-4210
Phone
(337) 233-2400
Fax
(337) 232-3656
NPI assigned
Oct 9, 2012
Last updated
Aug 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP07092 LA Primary

Addresses

Primary practice location

800 Kaliste Saloom Rd
Lafayette, LA 70508-4210

Mailing address

PO Box 1002
Carencro, LA 70520-1002
Phone (337) 788-0177

Other practice location 1

800 Kaliste Saloom Rd
Lafayette, LA 70508-4210
Phone (337) 233-2400

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
I20130518000023 LA Practitioner - Nurse Practitioner 3375614910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1921 Dulles Dr
Lafayette, LA 70506-2716

PO Box
Suite 1002
Carencro, LA 70520-1002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bob Winston MD PSC CurrentSince Jul 12, 2022 Accepting new patients
Oceans Behavioral Hospital of Greater New Orleans LLC PastSince Jan 17, 2022 Accepting new patients

Locations

810 S Broadway St
Church Point, LA 70525
Phone (337) 684-4281

2020 W Pinhook Rd
Ste 504
Lafayette, LA 70508
Phone (337) 214-2100

1310 Heather Dr
Opelousas, LA 70570
Phone (337) 948-8820

Organizations & group practices 3

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": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1730431297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1002",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705201002",
            "telephone_number": "337-788-0177",
            "fax_number": "337-232-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KALISTE SALOOM RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084210",
            "telephone_number": "337-233-2400",
            "fax_number": "337-232-3656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Kaliste Saloom Rd",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705084210",
            "country_code": "US",
            "telephone_number": "337-233-2400",
            "fax_number": "337-232-3656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THERIOT",
        "first_name": "REBECCA",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP07092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.