Elizabeth Ann Mouton, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP09387 Issued in LA

Practice address

12880 Plank Rd
Baker, LA 70714-4909

Phone

(225) 774-7111

NPI assigned

Jul 25, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Mouton Miletello Former name

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mark C Mouton MD LLCGroup PAC ID 5597816207, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Zachary - a M G Specialty Hospital Long-term care hospital, Zachary, LA, CCN 192041

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mark C Mouton MD LLC

  • Internal Medicine Physician
  • Baker, LA
  • NPI 1760626170
  Medicare reassignment Care Compare group
• C & M Medical Services, Inc.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Metairie, LA
  • NPI 1710903059
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• LTAC Hospital of Feliciana, LLC

  • Long Term Care Hospital
  • Zachary, LA
  • NPI 1316180706

  Long-term care hospital

  Care Compare affiliation

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1760905343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6943 BURTCLIFF DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708186706",
            "telephone_number": "337-692-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12880 PLANK RD",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707144909",
            "telephone_number": "225-774-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUTON",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MILETELLO",
            "middle_name": "MOUTON",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amaire Montgomery
• Delores A Moore, RSW
• Moreau Physical Therapy Inc.
• Breeanna Morris
• Michelle Mott
• Mark Christian Mouton, M.D.
• MPS Quickcare, LLC
• Ms.Mae'S Reliable Transportation LLC
• Thikra Muhsin
• Hailey McManus Murphy, MSN, APRN, FNP-C

• Family Nurse Practitioner in Baker, LA
• Providers in Baker, 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 Nov 21, 2019; 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.

Verify at the official NPI Registry.