Individual provider Active NPI

Lachelle Nicole Caillouet, RN, FNP-C

  • Family Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1730626912
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133083 Issued in TX
Practice address
810 Hospital Dr Ste 115
Beaumont, TX 77701-4633
Phone
(409) 838-4533
NPI assigned
Jan 25, 2017
Last updated
Jan 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP133083 TX Primary

Addresses

Primary practice location

810 Hospital Dr Ste 115
Beaumont, TX 77701-4633

Mailing address

810 Hospital Dr Ste 115
Beaumont, TX 77701-4633
Phone (409) 838-4533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170222001279 TX Practitioner - Nurse Practitioner 2264716059 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP133083TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Procenture Medical Services LLC CurrentSince Feb 1, 2020 Accepting new patients
Baptist Physician Network CurrentSince Sep 6, 2018 Accepting new patients

Locations

3070 College St
Ste 120
Beaumont, TX 77701
Phone (409) 835-2300

3555 Stagg Dr
Beaumont, TX 77701
Phone (409) 212-5922

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": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1730626912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 HOSPITAL DR STE 115",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014633",
            "telephone_number": "409-838-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 HOSPITAL DR STE 115",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014633",
            "telephone_number": "409-838-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAILLOUET",
        "first_name": "LACHELLE",
        "middle_name": "NICOLE",
        "credential": "RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.