Individual provider Active NPI

Heather Lynn Fanguy, F.N.P.

  • Family Nurse Practitioner
  • Houma, LA
National Provider Identifier
1942456512
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP05565 Issued in LA
Practice address
259 Gabasse St
Houma, LA 70360-4417
Phone
(985) 873-7244
Fax
(985) 876-2111
NPI assigned
Aug 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP05565 LA Primary

Addresses

Primary practice location

259 Gabasse St
Houma, LA 70360-4417

Mailing address

259 Gabasse St
Houma, LA 70360-4417
Phone (985) 873-7244

Other identifiers 1

IdentifierTypeStateIssuer
1307084MedicaidLA

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
I20081014000336 LA Practitioner - Nurse Practitioner 7416025762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gentile Properties, LLCGroup PAC ID 7719052984, 2 clinicians

Practice addresses (Care Compare)

259 Gabasse St
Houma, LA 70360-4417
Phone (985) 873-7244

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gentile Properties, LLC CurrentSince Aug 4, 2008 Accepting new patients

Locations

259 Gabasse St
Houma, LA 70360
Phone (985) 873-7244

Interoperability endpoints

  • Direct secure messaging: fheather407349@direct.ochsner.org

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": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1942456512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 GABASSE ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604417",
            "telephone_number": "985-873-7244",
            "fax_number": "985-876-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 GABASSE ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604417",
            "telephone_number": "985-873-7244",
            "fax_number": "985-876-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANGUY",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP05565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1307084",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.