Amie Bourgeois Falgout, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN078261-AP05915 Issued in LA

Practice address

843 Milling Ave
Luling, LA 70070-4442

Phone

(985) 785-5800

Fax

(985) 785-5811

NPI assigned

Jan 14, 2009

Last updated

Jul 26, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Divinity Home Health Services, LLC

  • Home Health Agency
  • Thibodaux, LA
  • NPI 1801224084
  NPD (past)

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1750528634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 MILLING AVE",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700704442",
            "telephone_number": "985-785-5800",
            "fax_number": "985-785-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 MILLING AVE",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700704442",
            "telephone_number": "985-785-5800",
            "fax_number": "985-785-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALGOUT",
        "first_name": "AMIE",
        "middle_name": "BOURGEOIS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN078261-AP05915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2110551",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tramaine Eugene-Robinson
• Latanya Eugene
• Eboni M Evans, PHARMD
• Kerrah Fabacher, LPC
• Sarah Ashleigh Fagan
• Families for Life, LLC
• Familyrx LLC (Thrift Village Drugs)
• Elizabeth Ann Fisher, PTA
• Lauren E. Fitch, LCSW
• Mona Lisa Flores, LCSW

• Family Nurse Practitioner in Luling, LA
• Providers in Luling, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.