MR. MATTHEW BLAINE THERIOT (NPI# 1346296027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346296027 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW BLAINE THERIOT |
| Credential | N.P. |
| Practice Address |
2362 Larkspur Ln Opelousas LA 70570-8674 |
| Practice Telephone | 3375940675 |
| Practice Fax Number | 3375940850 |
| Mailing Telephone | 3375940675 |
| Mailing Fax Number | 3375940850 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-01-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP04908 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP04908 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1527408 | 05 |
| Street Address |
2362 LARKSPUR LN |
| City | OPELOUSAS |
| State | LA |
| Zip Code | 70570-8674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164989059 | Alivia Fontenot | Nurse Practitioner | 2362 Larkspur Ln, Opelousas, LA 70570-8674 | 2019-02-27 |
| 1366520298 | Eric Chatman | Specialist | 2362 Larkspur Ln, Opelousas, LA 70570-8674 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821608282 | Dream Angels Agency | Home Health | 356 Country Ridge Rd., 21, Opelousas, LA 70570 | 2020-07-31 |
| 1588286389 | Kasey Dunn | Nurse Practitioner | 3983 Interstate-49 South Service Rd., Suite 103, Opelousas, LA 70570 | 2020-05-14 |
| 1538704010 | Southern Family Medicine, LLC | Nurse Practitioner | 10818 Hwy. 190, Opelousas, LA 70570 | 2019-11-08 |
| 1952952061 | Check Point Urgent Care | Clinic/Center | 2331 S Union Street, Opelousas, LA 70570 | 2019-09-20 |
| 1639734015 | Southern Pharmacy LLC | Pharmacy | 3939 I-49 South Service Rd., Opelousas, LA 70570 | 2019-05-01 |
| 1245708452 | Anthony Ray Parker Jr. | Case Manager/Care Coordinator | 208 Ballard Loop, Opelousas, LA 70570 | 2018-11-06 |
| 1306329511 | Katherine D Trahan | Pharmacy | 3935 I-49 South Service Rd, Opelousas, LA 70570 | 2018-09-13 |
| 1548752942 | Justin Y Auzenne | Driver | 230 Lemelle St, Opelousas, LA 70570 | 2018-05-31 |
| 1063920650 | Laykin Bellard | Nurse Practitioner | 3975 I-49 Frontage Rd, Suite 201, Opelousas, LA 70570 | 2018-01-17 |
| 1124535562 | Lisa M Miller | Counselor | 1211 Austin Rd, Opelousas, LA 70570 | 2018-01-08 |
| Find all providers in zip 70570 | ||||
| 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 |
|---|---|---|---|---|
| 1497100580 | Kortney Mcmullin | Nurse Practitioner | 1723 Creswell Ln Ext, Opelousas, LA 70570-7836 | 2016-04-26 |
| 1235486481 | Herman Junes Ledet | Nurse Practitioner | 5620 I 49 N Service Rd, Opelousas, LA 70570-0780 | 2012-08-07 |
| 1699851931 | Pamela Taylor Jackson | Nurse Practitioner | 226 Louisiana Ave, Opelousas, LA 70570-3346 | 2006-10-30 |
| 1063419745 | Jimmy Legros IIi | Nurse Practitioner | 3975 I 49 S Service Rd, 234, Opelousas, LA 70570-0775 | 2005-07-07 |
| 1124659628 | Nicholas Scott Boies | Nurse Practitioner | 539 E Prudhomme St, Opelousas, LA 70570-6499 | 2020-02-03 |
| 1164989059 | Alivia Fontenot | Nurse Practitioner | 2362 Larkspur Ln, Opelousas, LA 70570-8674 | 2019-02-27 |
| 1720427966 | Lindsi Delahoussaye Pizzolato | Nurse Practitioner | 1233 Wayne Gilmore Cir, Suite 250b, Opelousas, LA 70570-6405 | 2013-06-20 |
| 1497000657 | Melissa Martin Breaux | Nurse Practitioner | 1233 Wayne Gilmore Circle, Suite 250-b, Opelousas, LA 70570-6405 | 2012-07-13 |
| 1275767063 | April Danielle Woodrow | Nurse Practitioner | 3975 I 49 S Service Rd, Suite 200, Opelousas, LA 70570-0775 | 2009-05-07 |
| 1790960789 | Stephanie Saizan Guillory | Nurse Practitioner | 1233 Wayne Gilmore Cir, Suite 450, Opelousas, LA 70570-6405 | 2008-01-08 |
| Find all providers in OPELOUSAS | ||||
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| 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.