Individual provider Active NPI

Angelique Allemand, ACNP-C

  • Acute Care Nurse Practitioner
  • Houma, LA
National Provider Identifier
1942506183
Registry record updated Feb 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
06112 Issued in LA
Practice address
412 Canal LN
Houma, LA 70364-1113
Phone
(985) 226-3529
NPI assigned
Feb 6, 2011
Last updated
Feb 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 06112 LA Primary

Addresses

Primary practice location

412 Canal LN
Houma, LA 70364-1113

Mailing address

412 Canal LN
Houma, LA 70364-1113
Phone (985) 226-3529

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
I20111122000622 LA Practitioner - Nurse Practitioner 9739353087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gregory C. Maidoh, MD, Inc.Group PAC ID 0941112486, 2 clinicians

Practice addresses (Care Compare)

855 Belanger St
Houma, LA 70360-4463
Phone (985) 876-9113

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06112LAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory C. Maidoh, MD, Inc. CurrentSince Oct 31, 2011 Accepting new patients

Locations

855 Belanger St
Ste 201
Houma, LA 70360
Phone (985) 872-1093

604 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 448-3700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHIHCA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1296950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296950400000",
    "number": "1942506183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 CANAL LN",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703641113",
            "telephone_number": "985-226-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 CANAL LN",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703641113",
            "telephone_number": "985-226-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEMAND",
        "first_name": "ANGELIQUE",
        "credential": "ACNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-06",
        "last_updated": "2011-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "LA",
            "license": "06112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.