Individual provider Active NPI

Gwendolyn Leger, NP

  • Family Nurse Practitioner
  • Church Point, LA
National Provider Identifier
1891076865
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP06544 Issued in LA
Practice address
814 S Broadway St
Church Point, LA 70525-4402
Phone
(337) 684-3178
NPI assigned
Sep 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN071795 LA
Family Nurse Practitioner 363LF0000X AP06544 LA Primary

Addresses

Primary practice location

814 S Broadway St
Church Point, LA 70525-4402

Mailing address

9155 Crestwyn Hills Dr
Memphis, TN 38125-8501
Phone (901) 261-4858

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
I20111017000469 LA Practitioner - Nurse Practitioner 0446422497 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN071795LAMDRegistered Nurse
AP06544LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Opelousas Emergency Group LLC Nurse Practitioner CurrentSince May 10, 2013 Accepting new patients
Barousse Family Clinic LLC Family CurrentSince Jun 1, 2024 Accepting new patients
Abbeville Emergency Group LLC Nurse Practitioner CurrentSince Oct 19, 2015 Accepting new patients
Eunice Emergency Group LLC Nurse Practitioner CurrentSince Sep 5, 2015 Accepting new patients
Acadia-St. Landry Hospital Service District Past Accepting new patients

Locations

118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466

711 S Broadway St
Church Point, LA 70525
Phone (337) 684-0127

408 W Canal St
Church Point, LA 70525
Phone (337) 684-8001

3501 Highway 190
Eunice, LA 70535
Phone (337) 580-7500

539 E Prudhomme St
Opelousas, LA 70570
Phone (337) 943-7128

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1891076865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9155 CRESTWYN HILLS DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258501",
            "telephone_number": "901-261-4858",
            "fax_number": "901-261-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 S BROADWAY ST",
            "city": "CHURCH POINT",
            "state": "LA",
            "postal_code": "705254402",
            "telephone_number": "337-684-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGER",
        "first_name": "GWENDOLYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN071795",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Church Point, LA

Sources for this page

Verify at the official NPI Registry.