Individual provider Active NPI

Elaine Marie Templet, R.N., B.S.N.

  • Contractor
  • Gonzales, LA
National Provider Identifier
1992048425
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
RN042697 Issued in LA
Practice address
1414 N Burnside Ave
Suite C, PMB #6
Gonzales, LA 70737-2154
Phone
(850) 565-0663
Fax
(188) 877-4835
NPI assigned
Apr 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X RN042697 LA Primary

Addresses

Primary practice location

1414 N Burnside Ave
Suite C, PMB #6
Gonzales, LA 70737-2154

Mailing address

1414 N Burnside Avenue
Suite C PMB #6
Gonzales, LA 70737
Phone (850) 565-0663

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)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN042697LAMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1992048425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 N BURNSIDE AVENUE",
            "address_2": "SUITE C PMB #6",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "70737",
            "telephone_number": "850-565-0663",
            "fax_number": "188-877-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 N BURNSIDE AVE",
            "address_2": "SUITE C, PMB #6",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707372154",
            "telephone_number": "850-565-0663",
            "fax_number": "188-877-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLET",
        "first_name": "ELAINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "R.N., B.S.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "LA",
            "license": "RN042697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.