Active NPI
Heather Lynn Fanguy, F.N.P.
- Family Nurse Practitioner
- Houma, LA
National Provider Identifier
1942456512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP05565
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1307084 | Medicaid | LA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gentile Properties, LLC | Current | Accepting new patients |
Locations
259 Gabasse St
Houma, LA 70360
Phone (985) 873-7244
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.