MR. KEITH OWEN BREAUX (NPI# 1144889320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144889320 |
Entity Type | Individual |
Full Name | MR. KEITH OWEN BREAUX |
Credential | NP |
Practice Address |
401 E Vaughn Ave Ruston LA 71270-5950 |
Mailing Address |
200 Corporate Blvd Lafayette LA 70508-3870 |
Practice Telephone | 3182542100 |
Practice Fax Number | 3182542728 |
Mailing Telephone | 8008939698 |
Enumeration Date | 2019-06-11 |
Last Update Date | 2019-12-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 207900 | LA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
401 E VAUGHN AVE |
City | RUSTON |
State | LA |
Zip Code | 71270-5950 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396746855 | Bayou Pathology, Apmc & N. Smith, Md, LLP | Pathology | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2005-08-09 |
1245837251 | Laticia Chemeare Beaudoin | Nurse Practitioner | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2020-10-02 |
1962024026 | Clhg-ruston LLC | General Acute Care Hospital | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2020-05-12 |
1477112589 | Rhonda Marie Walker | Nurse Practitioner | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2019-06-12 |
1558829382 | Monte Dale Moore | Clinical Nurse Specialist | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2019-03-11 |
1598280752 | Jennifer Ann Calvert | Nurse Practitioner | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2017-08-09 |
1700306404 | Stephanie Kay Morris | Nurse Practitioner | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2017-06-23 |
1992117436 | Beau Michael Burton | Registered Nurse | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2014-06-02 |
1699077156 | Renee Schwartzenburg Coleman | Physician Assistant | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2010-12-03 |
1336376276 | Misti Harrington Walker | Dietitian, Registered | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2009-06-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144821315 | Olivia Mason | Marriage & Family Therapist | 413 North Homer Street, Ruston, LA 71270 | 2020-11-04 |
1972146132 | Razz Addiction and Recovery, LLC | Family Medicine | 570 Heard Rd, Ruston, LA 71270 | 2019-10-21 |
1518435999 | Tenia Holloway | Case Manager/Care Coordinator | 612 Henderson St., F12, Ruston, LA 71270 | 2018-11-05 |
1245708718 | A Plus Medical of Ruston LLC | Family Medicine | 612 S Farmerville Street, Ruston, LA 71270 | 2018-11-02 |
1255808085 | Amanda M Clark | Specialist/Technologist | 2301 Timberline Ct Apt F105, Ruston, LA 71270 | 2018-10-30 |
1912473752 | Lincoln Nova Vital Recovery | Counselor | 4396 Hwy, 80, 617 South Trention, Ruston, LA 71270 | 2018-10-19 |
1861975237 | Wymeka Andrea Breaux | Case Manager/Care Coordinator | 705 Martin Luther King Dr., Ruston, LA 71270 | 2018-09-12 |
1790292001 | Louquyhanta Foster | Case Manager/Care Coordinator | 593 Belton Rd, Ruston, LA 71270 | 2018-01-08 |
1609391010 | Chemia Herron | Counselor | 775 S Bonner, Ruston, LA 71270 | 2017-08-07 |
1477083517 | Arnesha Beard | Counselor | 775 South Bonner, Ruston, LA 71270 | 2017-06-12 |
Find all providers in zip 71270 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356951396 | Advance Clinical Associates LLC | Nurse Practitioner | 2505 Cypress Springs Ave, Ruston, LA 71270-5109 | 2020-08-05 |
1659503092 | Jamie Marie Portacci | Nurse Practitioner | 1809 Northpointe Ln Ste 102, Ruston, LA 71270 | 2009-08-19 |
1134313331 | Patricia D. Mcgovern | Nurse Practitioner | 401 E Vaughn Ave Ste 104-105, Ruston, LA 71270-5950 | 2007-08-30 |
1740360353 | Wanda J Sullivan | Nurse Practitioner | 765 S Bonner St, Ruston, LA 71270-5801 | 2006-10-17 |
1073624078 | Robert Holland Roy | Nurse Practitioner | 730 Celebrity Drive, American Stat Care Center, Ruston, LA 71270 | 2006-08-31 |
1891711883 | Edie P Lemley | Nurse Practitioner | 1809 Northpointe Ln, Suite 102, Ruston, LA 71270-3853 | 2006-07-14 |
1245837251 | Laticia Chemeare Beaudoin | Nurse Practitioner | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2020-10-02 |
1477112589 | Rhonda Marie Walker | Nurse Practitioner | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2019-06-12 |
1700306404 | Stephanie Kay Morris | Nurse Practitioner | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2017-06-23 |
1992162622 | Robert Railey Garrett | Nurse Practitioner | 1200 S Farmerville St, Ruston, LA 71270-5941 | 2016-01-26 |
Find all providers in RUSTON |
Please comment or provide details below to improve the information on MR. KEITH OWEN BREAUX.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.