Johanne Eustache Saint Louis, ARNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

9249017 Issued in FL

Practice address

701 NW 13TH St
Boca Raton, FL 33486-2305

Phone

(561) 955-4145

NPI assigned

Nov 3, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: jeustache1543363@nychhc.direct-ci.com

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1902201981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 NW 13TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862305",
            "telephone_number": "561-955-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 NW 13TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862305",
            "telephone_number": "561-955-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUSTACHE SAINT LOUIS",
        "first_name": "JOHANNE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-03",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "9249017",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "9249017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua David Etman, DDS
• Daniel Ettedgui, D.O.
• Haley-Elaine Eubanks
• European Senior Care LLC
• Kathleen A Eustace
• Aaron James Evans, O.D.
• Debbion Carlesia Evans, OTA
• Jessica Faith Evans
• Katarina Evans, LMHC
• Lisa J Evans, MD

• Gerontology Nurse Practitioner in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.