PAMELA BREAUX (NPI# 1801913538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801913538 |
| Entity Type | Individual |
| Full Name | PAMELA BREAUX |
| Credential | NP |
| Practice Address |
5642 W Main St Houma LA 70360-1250 |
| Practice Telephone | 9858532273 |
| Practice Fax Number | 9858532790 |
| Mailing Telephone | 9858532273 |
| Mailing Fax Number | 9858532790 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP03751 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1103675 | 05 |
| Street Address |
5642 W MAIN ST |
| City | HOUMA |
| State | LA |
| Zip Code | 70360-1250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386637130 | Leslie Chauvin Ber | Pediatrics | 5642 W Main St, Houma, LA 70360-1250 | 2005-08-26 |
| 1598882151 | Sugarland Pediatrics, LLC | Pediatrics | 5642 W Main St, Houma, LA 70360-1250 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382697 | Start Corporation | Clinic/Center | 106 School Street, Houma, LA 70360 | 2020-09-24 |
| 1013474196 | Christi Thibodeaux Rodrigue | Case Manager/Care Coordinator | 427west Tunnel Blvd, Houma, LA 70360 | 2019-02-26 |
| 1053801415 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1420 Saint Charles St, Houma, LA 70360 | 2018-05-11 |
| 1447780044 | Shakira Harding | Counselor | 148 Columbus Street, Houma, LA 70360 | 2017-06-15 |
| 1639608995 | Rakitha Monique Volter-jones | Counselor | 6522 West Main Street, Houma, LA 70360 | 2017-06-08 |
| 1588103469 | Eyecare Specialties | Ophthalmology | 564 Valhi Blvd, Houma, LA 70360 | 2017-02-13 |
| 1538605464 | Houma Dental Associates, LLC | Dentist | 5934 West Main St, Houma, LA 70360 | 2017-01-17 |
| 1649721143 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 143 War Horse Place, Houma, LA 70360 | 2016-10-19 |
| 1528417045 | Mandi Gaubert Bonvillain | Psychologist | 1018 Verrett Street, Houma, LA 70360 | 2016-06-06 |
| 1295182434 | Kerry M Guidry | Chiropractor | 6902 West Main Street, Houma, LA 70360 | 2016-05-18 |
| Find all providers in zip 70360 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245268069 | Jennifer W Charpentier | Nurse Practitioner | 1990 Industrial Boulevard, Houma, LA 70363-7055 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138473 | Nickolas Matthews | Nurse Practitioner | 1307 Crowley Rayne Hwy Ste B, Crowley, LA 70526-8210 | 2020-09-14 |
| 1841809258 | Brandi Schwab | Nurse Practitioner | 157 Belington Ave, Madisonville, LA 70447-9109 | 2020-07-31 |
| 1780293878 | Cornerstone Childrens Clinic LLC | Nurse Practitioner | 44546 S Airport Rd Ste F, Hammond, LA 70403-0312 | 2020-07-24 |
| 1629691530 | Bayou Pediatrics | Nurse Practitioner | 2649 Arkansas Rd, West Monroe, LA 71291-8617 | 2020-05-27 |
| 1295376374 | Tatjana Michele Mimes | Nurse Practitioner | 3975 I 49 S Service Rd Ste 201, Opelousas, LA 70570-0775 | 2019-09-30 |
| 1063067411 | Arwa Mohammed Mohammed | Nurse Practitioner | 101 Medical Park Blvd Ste A, Pineville, LA 71360-8426 | 2019-08-02 |
| 1477118065 | Erin L Hurt | Nurse Practitioner | 59101 Amber St, Slidell, LA 70461-3708 | 2019-05-08 |
| 1033679501 | Laura Elizabeth Williamson | Nurse Practitioner | 501 Medical Center Dr Ste 100, Alexandria, LA 71301-8124 | 2019-03-21 |
| 1043703010 | Samantha Lee Lovecchio | Nurse Practitioner | 120 Ochsner Blvd Ste 245, Gretna, LA 70056-5280 | 2018-06-13 |
| 1225539620 | Micah Aaron Callais | Nurse Practitioner | 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 | 2018-02-22 |
| Find all providers with the same taxonomy | ||||
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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.