Chantel K. Burns, MD
Individual provider Active NPI Emergency Medicine Physician · Opelousas, LA
NPI 1831426477 · NPPES record last updated Jan 20, 2017
Key facts
- NPI
- 1831426477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 205751 (LA)
- Practice address
- 8762 Highway 182
Southwest Louisiana Primary Healthcare Center
Opelousas, LA 70570-5603 - Phone
- (337) 942-2005
- NPI assigned
- Nov 3, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130208000038 | LA | Practitioner - Family Practice | 2264685627 | Reassigns benefits to 12 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calcasieu Cameron Emergency Physician Group LLC | Emergency Medicine | Current |
Accepting new patients |
| Emergency Staffing Solutions Inc | Emergency Medicine | Current |
Accepting new patients |
| Derussy Emergency Group, LLC | Emergency Medicine | Current |
Accepting new patients |
| Emergency Group of St Landry LLC | Emergency Medicine | Current |
Accepting new patients |
| Jena Ess Hospitalist LLC | Current |
Accepting new patients | |
| Jefferson Davis Emergency Group LLC | Emergency Medicine | Current |
Accepting new patients |
| Jena Ess LLC | Emergency Medicine | Current |
Accepting new patients |
| Eunice Emergency Group LLC | Emergency Medicine | Current |
Accepting new patients |
| Sound Physicians Emergency Medicine of Louisiana Inc | Emergency Medicine | Current |
Accepting new patients |
| Professional Emergency Medicine Management -- Lake Charles LLC | Emergency Medicine | Current |
Accepting new patients |
| Leatherwood Emergency Group, LLC | Emergency Medicine | Current |
Accepting new patients |
| Ascension Emergency Physicians LLC | Emergency Medicine | Current |
Accepting new patients |
| KSKM Health | Past | Accepting new patients |
Locations
3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917
3501 Highway 190
Eunice, LA 70535
Phone (337) 580-7500
1125 W Highway 30
Gonzales, LA 70737
Phone (225) 621-2975
187 Ninth St
Jena, LA 71342
Phone (318) 992-9200
1634 Elton Rd
Jennings, LA 70546
Phone (337) 616-7000
1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000
524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455
207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109
4231 Highway 1192
Marksville, LA 71351
Phone (318) 240-6000
130 Hospital Dr
Oakdale, LA 71463
Phone (318) 215-3084
701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270
800 E Main St
Ville Platte, LA 70586
Phone (337) 363-5684
Interoperability endpoints
- avhcburns@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 205751 | LA | Yes |
Addresses
Primary practice location
8762 Highway 182
Southwest Louisiana Primary Healthcare Center
Opelousas, LA 70570-5603
Mailing address
8762 Highway 182
Southwest Louisiana Primary Healthcare Center
Opelousas, LA 70570-5603
Phone (337) 942-2005
NPI Registry JSON
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484870400000",
"number": "1831426477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8762 HIGHWAY 182",
"address_2": "SOUTHWEST LOUISIANA PRIMARY HEALTHCARE CENTER",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705705603",
"telephone_number": "337-942-2005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8762 HIGHWAY 182",
"address_2": "SOUTHWEST LOUISIANA PRIMARY HEALTHCARE CENTER",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705705603",
"telephone_number": "337-942-2005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "CHANTEL",
"middle_name": "K.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-03",
"last_updated": "2017-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "205751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Opelousas, LA
- Stuart M Brown
- Bryan a. Lebean, Sr., M.D., Apmc
- Jade Burbank
- Brittaney Nicole Burke
- Michael Louis Burnell
- Thomas Reed Butaud
- Monica Butler
- C Scott Boagni MD Apmc
- Preston Cain Jr.
- Sylvia Calhoun-Daniel
All providers in Opelousas, LA · Emergency Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.