Erin Boudreaux Azbell, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

3007638 Issued in KY

Practice address

1517 Nicholasville Rd Ste 405
Lexington, KY 40503-1429

Phone

(859) 278-8469

NPI assigned

Oct 15, 2012

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 4

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

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.

• Community Medical Associates, Inc.

  • Multi-Specialty Clinic/Center
  • Louisville, KY
  • NPI 1306983762

  Adult Health

  Medicare reassignment NPD
• Community Medical Associates, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1588614994
  NPD
• Community Medical Associates, Inc.

  dba Norton Community Medical Associates

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1881192409
  NPD
• Icats Management Integrated Care and Transition Services LLC

  dba ICATS Mangement

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1033559240
  NPD (past)

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1831441823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4821 PLEASANT GROVE RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405151601",
            "telephone_number": "052-873-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 NICHOLASVILLE RD STE 405",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031429",
            "telephone_number": "859-278-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZBELL",
        "first_name": "ERIN",
        "middle_name": "BOUDREAUX",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-15",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3007638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100223490",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-NMA",
            "identifier": "000000887724",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "164897",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT-NMA",
            "identifier": "50074386",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ayres, APRN
• Ghadeer Ayyad
• Amanda Jean Azam
• Corrine Ashley Azbart
• Christopher Haywood Azbell, MD
• Muhammad Ali Ali Aziz, MD
• Mai Ahmed Azzam, BDS, MDSC
• B 'N G Psychological Services
• B R Yates, DMD
• Ann-Maria Baas, MS, RD

• Adult Health Nurse Practitioner in Lexington, KY
• Providers in Lexington, KY by specialty
• Adult Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.