Individual provider Active NPI

Clara Basco Coutee, FNP

  • Family Nurse Practitioner
  • Marksville, LA
National Provider Identifier
1962406884
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN038164 Issued in LA
Practice address
5541 Highway 1
Marksville, LA 71351-2650
Phone
(318) 240-7240
Fax
(318) 240-7780
NPI assigned
Jun 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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 RN038164 LA Primary

Addresses

Primary practice location

5541 Highway 1
Marksville, LA 71351-2650

Mailing address

5541 Highway 1
Marksville, LA 71351-2650
Phone (318) 240-7240

Other identifiers 1

IdentifierTypeStateIssuer
1693073MedicaidLA

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
I20101015000897 LA Practitioner - Nurse Practitioner 9739090390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CLHG-Avoyelles LLC 39 clinicians

Practice addresses (Care Compare)

10542 Hwy 1
Moreauville, LA 71355-3051
Phone (318) 785-0102

2906 Main St
Hessmer, LA 71341-4006
Phone (318) 563-1003

4239 Hwy 1192
Suite 300
Marksville, LA 71351-4772
Phone (318) 253-8611

5541 Hwy 1
Marksville, LA 71351-2650
Phone (318) 240-7240

Hospital & facility affiliations

  • Allegiance Home Health of East Central Louisiana Home health agency, Ville Platte, LA, CCN 197199
  • Avoyelles Hospital Hospital, Marksville, LA, CCN 190099

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN038164LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CLHG-Avoyelles LLC Current Accepting new patients
CLHG-Avoyelles LLC CurrentSince Feb 15, 2019 Accepting new patients
CLHG-Avoyelles LLC CurrentSince Feb 15, 2019 Accepting new patients

Locations

409 Choupique Ln
Cottonport, LA 71327
Phone (318) 240-6000

2906 Main St
Hessmer, LA 71341
Phone (318) 315-7093

1610 Water St
Lecompte, LA 71346
Phone (318) 406-8010

5541 Highway 1
Marksville, LA 71351
Phone (318) 240-7240

110 La Rue Medecine St
Marksville, LA 71351
Phone (318) 253-6564

4239 Highway 1192
Ste 300
Marksville, LA 71351
Phone (318) 253-0677

10542 Highway 1
Moreauville, LA 71355
Phone (318) 785-0102

Interoperability endpoints

  • Direct secure messaging: clara.coutee.1@16696.direct.athenahealth.com
  • Direct secure messaging: clara.coutee.1@30808.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1962406884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5541 HIGHWAY 1",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512650",
            "telephone_number": "318-240-7240",
            "fax_number": "318-240-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5541 HIGHWAY 1",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512650",
            "telephone_number": "318-240-7240",
            "fax_number": "318-240-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUTEE",
        "first_name": "CLARA",
        "middle_name": "BASCO",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN038164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1693073",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marksville, LA

Sources for this page

Verify at the official NPI Registry.