Christi Danielle Carmouche, APRN, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

215247 Issued in LA

Practice address

1555 Gary Dr Ste C
Breaux Bridge, LA 70517-3448

Phone

(337) 909-2460

NPI assigned

Sep 3, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Martin Hospital IncGroup PAC ID 4688720782, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner St Martin Hospital Hospital, Breaux Bridge, LA, CCN 191302
• Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• St. Martin Hospital, Inc.

  • Cardiovascular Disease Physician
  • Breaux Bridge, LA
  • NPI 1407175615
  Medicare reassignment Care Compare group NPD
• St Martin Hospital, Inc.

  • Medical Specialty Clinic/Center
  • Breaux Bridge, LA
  • NPI 1619469202
  NPD
• St. Martin Hospital, Inc.

  • Rural Health Clinic/Center
  • Breaux Bridge, LA
  • NPI 1407414816
  NPD

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

• Lafayette General Medical Center Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1275536799
  Care Compare affiliation
• St Martin Hospital, Inc.

  • Critical Access Hospital
  • Breaux Bridge, LA
  • NPI 1437482817
  Care Compare affiliation

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1952915233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 GARY DR STE C",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705173448",
            "telephone_number": "337-909-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 GARY DR STE C",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705173448",
            "telephone_number": "337-909-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMOUCHE",
        "first_name": "CHRISTI",
        "middle_name": "DANIELLE",
        "credential": "APRN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "215247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calcasieu Urgent Care, LLC
• Cardiovascular Imaging of Louisiana
• Care Life Inc
• Care Management Solutions of Louisiana
• Care Van Transportation LLC
• Betty Marie Carr, CCC-SLP
• Bryce Carter
• Cecilia Medicine Shoppe Inc
• Cecilia Pharmacy, Inc.
• Cecilia RX Inc

• Family Nurse Practitioner in Breaux Bridge, LA
• Providers in Breaux Bridge, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.

Verify at the official NPI Registry.