LAUREN NICOLE BACON (NPI# 1982164620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982164620 |
| Entity Type | Individual |
| Full Name | LAUREN NICOLE BACON |
| Credential | ACNPC-AG |
| Practice Address |
531a Jefferson Ter New Iberia LA 70560-4949 |
| Practice Telephone | 3375600880 |
| Practice Fax Number | 3375600870 |
| Mailing Telephone | 3375600880 |
| Mailing Fax Number | 3375600870 |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2020-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | AP204131 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP204131 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SR0400X |
Clinical Nurse Specialist Specialization: Rehabilitation |
AP204131 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972065613 | Lauren Bacon | Student in an Organized Health Care Education/Training Program | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2019-04-02 |
| 1295167583 | Lauren Anna Bacon | Physical Therapist | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2013-08-08 |
| Street Address |
531A JEFFERSON TER |
| City | NEW IBERIA |
| State | LA |
| Zip Code | 70560-4949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326546276 | Headache & Pain Center, A Medical Corporation | Durable Medical Equipment & Medical Supplies | 531a Jefferson Ter, New Iberia, LA 70560-4949 | 2018-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578289 | Kelly Koch | Speech-Language Pathologist | 3919 Highway 14, New Iberia, LA 70560 | 2020-01-30 |
| 1043791262 | Mark Gray | Case Manager/Care Coordinator | 4601 E Admiral Doyle Dr, New Iberia, LA 70560 | 2018-08-25 |
| 1215418512 | Jada Renee Delahoussaye | Case Manager/Care Coordinator | 324 Copper Rd, New Iberia, LA 70560 | 2018-08-24 |
| 1639665334 | Sarah D. Lalande | Audiologist | 2308 E Main St Ste B, New Iberia, LA 70560 | 2018-07-05 |
| 1447766142 | Kirston Gardner | Counselor | 902 Jefferson Ter Ste D, New Iberia, LA 70560 | 2017-12-18 |
| 1902334048 | Keithlyn James | Counselor | 902 Jefferson Ter Ste E, New Iberia, LA 70560 | 2017-06-02 |
| 1619424926 | Dialysis Clinic Inc | Clinic/Center | 2708 E. Main St, New Iberia, LA 70560 | 2016-09-02 |
| 1720433477 | Theresa Armstead | Counselor | 1614 East Main St., Ste D, 36o Mental Health, LLC, New Iberia, LA 70560 | 2016-05-02 |
| 1033564711 | Johonnah Metzel | Case Manager/Care Coordinator | 209 W Main St Ste 200, New Iberia, LA 70560 | 2016-04-29 |
| 1508241969 | Sworoop Thomas John | Internal Medicine | 2315 East Main Street, Medical Staff Office, New Iberia, LA 70560 | 2015-07-28 |
| Find all providers in zip 70560 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457769358 | Edie Boudreaux LLC | Nurse Practitioner | 411 Weeks St, New Iberia, LA 70560-4551 | 2014-07-24 |
| 1750604625 | Rebecca Sayer | Nurse Practitioner | 2315 E Main St, New Iberia, LA 70560-4031 | 2010-03-08 |
| 1659557940 | Edie B Pourciau | Nurse Practitioner | 124 E Main St, Ste. 104, New Iberia, LA 70560 | 2008-01-16 |
| 1265618789 | Kelly Ann Poirier | Nurse Practitioner | 2313 E Main St, Suite C, New Iberia, LA 70560-4091 | 2008-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003863 | Kristen Dickerson Burns | Nurse Practitioner | 2530 Bert Kouns Industrial Loop Ste 138, Shreveport, LA 71118-6114 | 2020-11-05 |
| 1932717576 | Tera Rachal Cooke | Nurse Practitioner | 1712 Missile Base Rd, Stonewall, LA 71078-8328 | 2020-07-20 |
| 1144847211 | Pelican Mobile Health, LLC | Nurse Practitioner | 105 Aycock Rd, Monroe, LA 71203-9335 | 2020-07-06 |
| 1114575396 | Jennifer Marie Williams | Nurse Practitioner | 327 Industrial Dr, Jonesboro, LA 71251-5498 | 2019-08-30 |
| 1730735663 | Dannette Furgerson | Nurse Practitioner | 2625 Leaf Ln, Shreveport, LA 71109-3010 | 2019-08-15 |
| 1285288951 | Valarie Golden Clark | Nurse Practitioner | 441 Route 66, Dequincy, LA 70633-5315 | 2019-07-30 |
| 1578039921 | Red Stick Healthcare | Nurse Practitioner | 16733 Wenwood Dr, Baton Rouge, LA 70817-6957 | 2018-10-23 |
| 1841706769 | Kellie Gater | Nurse Practitioner | 1111 Medical Center Blvd Ste S650, Marrero, LA 70072-3158 | 2017-12-15 |
| 1730601626 | Jennifer Holifield | Nurse Practitioner | 701 Metairie Rd Ste 2a-220, Metairie, LA 70005-4050 | 2017-07-12 |
| 1154773521 | Linda H Stodghill | Nurse Practitioner | 212 Rhymes St, Rayville, LA 71269-2917 | 2016-07-08 |
| Find all providers with the same taxonomy | ||||
| City | NEW IBERIA |
| Zip Code | 70560 |
Please comment or provide details below to improve the information on LAUREN NICOLE BACON.
| 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.