MR. KEITH OWEN BREAUX


Address: 401 E Vaughn Ave, Ruston, LA 71270-5950
Phone: 3182542100

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 207900 LA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 401 E VAUGHN AVE
City RUSTON
State LA
Zip Code 71270-5950

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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

Competitor

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City RUSTON
Zip Code 71270

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Dataset Information

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.

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