Active NPI
Lara Hutchinson Boudreaux, MD
- Gastroenterology Physician
- Covington, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 330834
- Practice address
- 7015 Highway 190 East Service Rd Ste 102
Covington, LA 70433-4960 - Phone
- (985) 893-9592
- NPI assigned
- Apr 4, 2019
- Last updated
- Mar 20, 2025
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | LA | ||
| Gastroenterology Physician | 207RG0100X | 330834 | LA | Primary |
Addresses
Primary practice location
7015 Highway 190 East Service Rd Ste 102
Covington, LA 70433-4960
Mailing address
16061 Doctors Blvd Ste B
Hammond, LA 70403-1499
Phone (985) 542-1334
Other practice location 1
2003 Tulane Ave
New Orleans, LA 70112
Phone (504) 962-6110
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Louisiana State University School of Medicine in Shreveport, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
16061 Doctors Blvd
Suite B
Hammond, LA 70403-1499
Phone (985) 542-1334
7015 Hwy 190 E Service Rd
Suite 102
Covington, LA 70433-4960
Phone (985) 542-1334
Hospital & facility affiliations
- St Tammany Parish Hospital
- East Jefferson General Hospital
- North Oaks Medical Center
- Ochsner Medical Center Acute
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 30 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 59 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 330834 | LA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northlake Gastroenterology | Current | Accepting new patients |
Locations
7015 Highway 190 East Service Rd
Ste 103
Covington, LA 70433
Phone (985) 273-3915
7015 Highway 190 East Service Rd
Ste 102
Covington, LA 70433
Phone (985) 542-1334
1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743
16061 Doctors Blvd
Hammond, LA 70403
Phone (985) 542-1334
16061 Doctors Blvd
Ste B
Hammond, LA 70403
Phone (985) 542-1334
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Hammond, LA
- NPI 1861484842
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hammond, LA
- NPI 1144227539
-
dba Ochsner Medical Center Acute
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
dba St Tammany Physicians Network
- Internal Medicine Physician
- Covington, LA
- NPI 1083793582
Hospital
-
dba Northlake Pulmonary Associates at St Tammany Parish Hospital
- Pulmonary Disease Physician
- Covington, LA
- NPI 1285285874
Hospital
-
dba St. Tammany Parish Hospital
- General Acute Care Hospital
- Covington, LA
- NPI 1598798597
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
-
dba East Jefferson General Hospital
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
-
dba Lakeview Regional Behavioral Health
- Psychiatric Hospital Unit
- Covington, LA
- NPI 1790722825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1992267272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16061 DOCTORS BLVD STE B",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031499",
"telephone_number": "985-542-1334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7015 HIGHWAY 190 EAST SERVICE RD STE 102",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704334960",
"telephone_number": "985-893-9592"
}
],
"practiceLocations": [
{
"address_1": "2003 Tulane Ave",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "70112",
"country_code": "US",
"telephone_number": "504-962-6110",
"fax_number": "504-962-6111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOUDREAUX",
"first_name": "LARA",
"middle_name": "HUTCHINSON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-04",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "LA",
"license": "330834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.