Active NPI
Emily Irvine
- Family Nurse Practitioner
- Houma, LA
National Provider Identifier
1902554520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 224387
- Practice address
- 827 Bayou Gardens Blvd
Houma, LA 70364-1464 - Phone
- (985) 853-2343
- Fax
- (985) 853-0589
- NPI assigned
- Mar 14, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 224387 | LA | Primary |
Addresses
Primary practice location
827 Bayou Gardens Blvd
Houma, LA 70364-1464
Mailing address
827 Bayou Gardens Blvd
Houma, LA 70364-1464
Phone (985) 853-2343
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 224387 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houma Health Clinic, Inc | Family | Current | Accepting new patients |
Locations
827 Bayou Gardens Blvd
Houma, LA 70364
Phone (985) 853-2343
Organizations & group practices 1
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": "1647216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647907200000",
"number": "1902554520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "827 BAYOU GARDENS BLVD",
"city": "HOUMA",
"state": "LA",
"postal_code": "703641464",
"telephone_number": "985-853-2343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "827 BAYOU GARDENS BLVD",
"city": "HOUMA",
"state": "LA",
"postal_code": "703641464",
"telephone_number": "985-853-2343",
"fax_number": "985-853-0589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRVINE",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-14",
"last_updated": "2022-03-22",
"certification_date": "2022-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "224387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.