Active NPI
Corinne Kauffeld Rougeau, NP
- Family Nurse Practitioner
- Baton Rouge, LA
National Provider Identifier
1982604187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP02285
- Practice address
- 5131 Odonovan Dr
Baton Rouge, LA 70808-4791 - Phone
- (225) 374-0220
- Fax
- (225) 374-0221
- NPI assigned
- Jul 29, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP02285 | LA | Primary |
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | AP02285 | LA |
Addresses
Primary practice location
5131 Odonovan Dr
Baton Rouge, LA 70808-4791
Mailing address
5131 Odonovan Dr
Baton Rouge, LA 70808-4791
Phone (225) 374-0220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1551384 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of the Lake Hospital Inc | Family | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490572800000",
"number": "1982604187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5131 ODONOVAN DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084791",
"telephone_number": "225-374-0220",
"fax_number": "225-374-0221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5131 ODONOVAN DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084791",
"telephone_number": "225-374-0220",
"fax_number": "225-374-0221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUGEAU",
"first_name": "CORINNE",
"middle_name": "KAUFFELD",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-29",
"last_updated": "2017-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP02285",
"primary": true
},
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "LA",
"license": "AP02285",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1551384",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.