Active NPI
Pamela Breaux, NP
- Pediatric Nurse Practitioner
- Houma, LA
National Provider Identifier
1801913538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP03751
- Practice address
- 5642 W Main St
Houma, LA 70360-1250 - Phone
- (985) 853-2273
- Fax
- (985) 853-2790
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP03751 | LA | Primary |
Addresses
Primary practice location
5642 W Main St
Houma, LA 70360-1250
Mailing address
5642 W Main St
Houma, LA 70360-1250
Phone (985) 853-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1103675 | Medicaid | LA |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP03751 | LA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801913538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5642 W MAIN ST",
"city": "HOUMA",
"state": "LA",
"postal_code": "703601250",
"telephone_number": "985-853-2273",
"fax_number": "985-853-2790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5642 W MAIN ST",
"city": "HOUMA",
"state": "LA",
"postal_code": "703601250",
"telephone_number": "985-853-2273",
"fax_number": "985-853-2790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREAUX",
"first_name": "PAMELA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "LA",
"license": "AP03751",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1103675",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.