Individual provider Active NPI

Hannah Waguespack Morvant, PA-C

  • Physician Assistant
  • Thibodaux, LA
National Provider Identifier
1881180305
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
308918 Issued in LA
Practice address
726 N Acadia Rd Ste 1000
Thibodaux, LA 70301-5009
Phone
(985) 625-2200
Fax
(985) 625-2206
NPI assigned
Jul 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 308918 LA Primary

Addresses

Primary practice location

726 N Acadia Rd Ste 1000
Thibodaux, LA 70301-5009

Mailing address

PO Box 28
Thibodaux, LA 70302-0028
Phone (985) 625-2200

Other names 1

  • Ms. Hannah Marie Waguespack Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20180921002306 LA Practitioner - Physician Assistant 1759632243 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Sports Specialists of Louisiana LLCGroup PAC ID 5991893869, 25 clinicians

Practice addresses (Care Compare)

1105 Northwest Blvd
Bayou Bend General Surgery and Bariatric CL
Franklin, LA 70538-3409
Phone (337) 355-1232

180 Corporate Dr
Houma, LA 70360-2766
Phone (985) 625-2200

200 Medical Dr
Franklin, LA 70538-4231
Phone (337) 828-5099

726 N Acadia Rd
Suite 1000
Thibodaux, LA 70301-5051
Phone (985) 625-2200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Sports Specialists of Louisiana, LLC CurrentSince Jun 18, 2018 Accepting new patients
Hospital Service District No. 1 of the Parish of St. Mary CurrentSince Dec 9, 2020 Accepting new patients

Locations

1105 Northwest Blvd
Franklin, LA 70538
Phone (337) 828-9729

1029 Northwest Blvd
Franklin, LA 70538
Phone (337) 366-6004

200 Medical Dr
Ste C
Franklin, LA 70538
Phone (337) 907-6102

4560 Highway 1
Ste 3
Raceland, LA 70394
Phone (985) 251-4250

726 N Acadia Rd
Ste 1000
Thibodaux, LA 70301

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1881180305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703020028",
            "telephone_number": "985-625-2200",
            "fax_number": "985-625-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 N ACADIA RD STE 1000",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703015009",
            "telephone_number": "985-625-2200",
            "fax_number": "985-625-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORVANT",
        "first_name": "HANNAH",
        "middle_name": "WAGUESPACK",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "308918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "WAGUESPACK",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "PA-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.