Individual provider Active NPI

Rebecca Reason Breaux, WHNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1942433438
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
RN096432-AP05892 Issued in LA
Practice address
180 Infirmary Rd
Baton Rouge, LA 70803-0001
Phone
(225) 578-0950
Fax
(225) 578-1771
NPI assigned
Aug 31, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP05892 LA
Obstetrics & Gynecology Nurse Practitioner 363LX0001X RN096432-AP05892 LA Primary

Addresses

Primary practice location

180 Infirmary Rd
Baton Rouge, LA 70803-0001

Mailing address

180 Infirmary Rd
Baton Rouge, LA 70803-0001
Phone (225) 578-0950

Other practice location 1

16 Infirmary Rd
Baton Rouge, LA 70803-0001
Phone (225) 578-6761

Other identifiers 1

IdentifierTypeStateIssuer
2143743MedicaidLA

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
I20110426000468 LA Practitioner - Nurse Practitioner 2264617893 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN096432-AP05892LAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lsuhn Billing LLC CurrentSince Jan 1, 2021 Accepting new patients
Lsuhn Billing LLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

16 Infirmary Rd
Baton Rouge, LA 70803
Phone (225) 578-6716

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 371-3135

Organizations & group practices 2

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": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1942433438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 INFIRMARY RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708030001",
            "telephone_number": "225-578-0950",
            "fax_number": "225-578-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 INFIRMARY RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708030001",
            "telephone_number": "225-578-0950",
            "fax_number": "225-578-1771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Infirmary Rd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708030001",
            "country_code": "US",
            "telephone_number": "225-578-6761",
            "fax_number": "225-578-0596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREAUX",
        "first_name": "REBECCA",
        "middle_name": "REASON",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-31",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP05892",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "LA",
            "license": "RN096432-AP05892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2143743",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.