Individual provider Active NPI

Ronald Rickey Poulan

  • Day Training/Habilitation Specialist
  • Breaux Bridge, LA
National Provider Identifier
1760954838
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
Practice address
282 Lawrence St
Breaux Bridge, LA 70517-4206
Phone
(337) 247-5248
NPI assigned
Dec 29, 2018
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X NU Primary

Addresses

Primary practice location

282 Lawrence St
Breaux Bridge, LA 70517-4206

Mailing address

282 Lawrence St
Breaux Bridge, LA 70517-4206
Phone (337) 247-5248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1546041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1760954838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 LAWRENCE ST",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705174206",
            "telephone_number": "337-247-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 LAWRENCE ST",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705174206",
            "telephone_number": "337-247-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULAN",
        "first_name": "RONALD",
        "middle_name": "RICKEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-29",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Breaux Bridge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.