Lauren Bacon Doumit, ACNPC-AG

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP204131 Issued in LA

Practice address

531A Jefferson Ter
New Iberia, LA 70560-4949

Phone

(337) 560-0880

Fax

(337) 560-0870

NPI assigned

Mar 20, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Lauren Nicole Bacon Former name

Electronic endpoints 1

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baton Rouge Clinic, a Medical CorporationGroup PAC ID 1254317001, 285 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Iberia Medical Center Hospital, New Iberia, LA, CCN 190054

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: blauren1446379@direct.ochsner.org
• Direct secure messaging: ldoumit5329449@direct.casso.us.com

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.

• Baton Rouge Clinic, a Medical Corporation

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1871546911

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Coolidge Physician Services LLC

  • Hospitalist Physician
  • Lafayette, LA
  • NPI 1609298843

  Single Specialty

  Medicare reassignment NPD
• Main Street Physician Services LLC

  • Hospitalist Physician
  • New Iberia, LA
  • NPI 1396150785

  Single Specialty

  Medicare reassignment NPD
• Baton Rouge Clinic, a Medical Corporation

  • Ophthalmology Physician
  • Baton Rouge, LA
  • NPI 1528941655
  NPD

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

• Hospital Service District No 1 of Iberia Parish

  • Rehabilitation Hospital Unit
  • New Iberia, LA
  • NPI 1992159925
  Care Compare affiliation
• Hospital Service District No. 1 of Iberia Parish

  • General Acute Care Hospital
  • New Iberia, LA
  • NPI 1285601088
  Care Compare affiliation

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1982164620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531A JEFFERSON TER",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604949",
            "telephone_number": "337-560-0880",
            "fax_number": "337-560-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531A JEFFERSON TER",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604949",
            "telephone_number": "337-560-0880",
            "fax_number": "337-560-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUMIT",
        "first_name": "LAUREN",
        "middle_name": "BACON",
        "name_prefix": "Mrs.",
        "credential": "ACNPC-AG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP204131",
            "primary": false
        },
        {
            "code": "364SR0400X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Rehabilitation",
            "state": "LA",
            "license": "AP204131",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "AP204131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdelange@theheadacheandpaincenter.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "531A Jefferson Ter",
            "city": "New Iberia",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705604949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "BACON",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "credential": "ACNPC-AG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Elliott Doerle, D.D.S.
• Kerwin V. Donaldson Jr., DDS
• Nicole Dossey, BA
• Daniel L Doucet, M.S.,ATC, LAT,LCEP
• Twyla Doucet
• Dr Brady Guillory LLC
• Dr. David Landry, PH.D., LLC
• Desiree Drexler, M.A.
• Laura Dubea, OT
• Frederick E Dubois, REGPH

• Adult Health Nurse Practitioner in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Adult Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.