Lucette Boudreaux, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

128388 Issued in LA

Practice address

220 W Willow St BLDG a
Lafayette, LA 70501-2837

Phone

(337) 262-5616

Fax

(337) 262-1310

NPI assigned

Jan 26, 2017

Last updated

Jan 26, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1891232039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 GRAND ANSE HWY",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705177104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W WILLOW ST BLDG A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705012837",
            "telephone_number": "337-262-5616",
            "fax_number": "337-262-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDREAUX",
        "first_name": "LUCETTE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "LA",
            "license": "128388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Daniel Boudreaux, PT, ATC, LAT
• Kathleen Marie Boudreaux, P.M.H.N.P.
• Kristin Lucas Boudreaux, DC, MSN, APRN
• Lindsay Harwin Boudreaux
• Lisa A Boudreaux, CPC
• Matthew B Boudreaux, M.D.
• Mindy Boudreaux
• Scott Christopher Boudreaux, RDH
• Scott W Boudreaux, DPT
• Tina Marie Boudreaux, FNP

• Community Health Registered Nurse in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Community Health Registered Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.