Active NPI
Victor Johnson Vautrot, M.D.
- Psychiatry Physician
- Pineville, LA
National Provider Identifier
1861691503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 203416
- Practice address
- 2495 Shreveport Hwy
Pineville, LA 71360-4044 - Phone
- (337) 258-3685
- NPI assigned
- Jul 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 203416 | LA | Primary |
Addresses
Primary practice location
2495 Shreveport Hwy
Pineville, LA 71360-4044
Mailing address
1174 Brigman Hwy
Eunice, LA 70535-7759
Phone (337) 258-3685
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203416 | LA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445990400000",
"number": "1861691503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1174 BRIGMAN HWY",
"city": "EUNICE",
"state": "LA",
"postal_code": "705357759",
"telephone_number": "337-258-3685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2495 SHREVEPORT HWY",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "713604044",
"telephone_number": "337-258-3685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUTROT",
"first_name": "VICTOR",
"middle_name": "JOHNSON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-12",
"last_updated": "2015-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "LA",
"license": "203416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pineville, LA
- VA Medical Center
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- Andrea Marie Vanburen, SLP
- Raven Vangossen
- Willie Raymond Vasquez Jr., PA-C
- Gloria E Velez Acosta, DMD
- Deann Vessel, PHARM.D.
- Veteran'S Affairs Medical Center
- Veterans Administration Medical Center
- Veterans Administration Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.