Individual provider Active NPI

Rhonda P Burdeaux, APRN BC

  • Nurse Practitioner
  • West Monroe, LA
National Provider Identifier
1962427609
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN059895 Issued in LA
Practice address
1117 Cheniere Drew Rd
West Monroe, LA 71291-8551
Phone
(318) 329-4370
Fax
(318) 329-4356
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN059895 LA Primary
Nurse Practitioner 363L00000X AP04819 LA

Addresses

Primary practice location

1117 Cheniere Drew Rd
West Monroe, LA 71291-8551

Mailing address

425 Standard Reed Rd
West Monroe, LA 71291-1609
Phone (318) 396-6807

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
I20070724000650 LA Practitioner - Nurse Practitioner 9739280579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1245 Glenwood Dr
West Monroe, LA 71291-5539
Phone (318) 361-3878

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP04819LAMDNurse Practitioner
RN059895LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kamp Management, LLC Current Accepting new patients
RPB Medical Services, LLC CurrentSince Jun 1, 2007 Accepting new patients

Locations

1117 Cheniere Drew Rd
West Monroe, LA 71291
Phone (318) 329-4370

1245 Glenwood Dr
West Monroe, LA 71291
Phone (318) 361-3878

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1962427609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 STANDARD REED RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712911609",
            "telephone_number": "318-396-6807",
            "fax_number": "318-396-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 CHENIERE DREW RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712918551",
            "telephone_number": "318-329-4370",
            "fax_number": "318-329-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDEAUX",
        "first_name": "RHONDA",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "APRN BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "RN059895",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP04819",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

Verify at the official NPI Registry.