Nedrana Boutte (NPI# 1982805586, PAC ID# 1850480054) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1982805586 |
| PAC ID by PECOS | 1850480054 |
| Professional Enrollment ID | I20071210000668 |
| Full Name | Nedrana Boutte |
| Organization Legal Name | WINNIE COMMUNITY HOSPITAL LLC |
| Address |
538 Broadway Winnie TX 77665-7600 |
| Phone Number | 4092966000 |
| Gender | F |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3375440894 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 451328 | RICELAND MEDICAL CENTER |
| 451320 | BAYSIDE COMMUNITY HOSPITAL |
| 450034 | CHRISTUS HOSPITAL |
| 450518 | THE MEDICAL CENTER OF SOUTHEAST TEXAS |
| Address | Phone | Organization |
|---|---|---|
| 538 Broadway, Winnie, TX 77665-7600 | 4092966000 | WINNIE COMMUNITY HOSPITAL LLC |
| 538 Broadway, Winnie, TX 77665-7600 | 4092969505 | THOMPSON OUTPATIENT CLINIC, LLC |
| Organization Legal Name | WINNIE COMMUNITY HOSPITAL LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chelsi Renee Harrison | Nurse Practitioner | Winnie Community Hospital LLC | 1305 S Main St, Riceland Clinic Jasper, Jasper, TX 75951-4739 |
| Alicia D Scoggins | Nurse Practitioner | Winnie Community Hospital LLC | 85 Ih 10 N, 112 Riceland Clinic Regents, Beaumont, TX 77707-2560 |
| Brooke Ann Manuel | Nurse Practitioner | Winnie Community Hospital LLC | 515 S Archie St, Riceland Clinic Vidor, Vidor, TX 77662-4868 |
| Brent L Mainwaring | Diagnostic Radiology | Winnie Community Hospital LLC | 3405 College St, Beaumont, TX 77701-4613 |
| Danny L Thompson | Physician Assistant | Winnie Community Hospital LLC | 538 Broadway, Winnie, TX 77665-7600 |
| Azhar Latif | Pediatric Medicine | Winnie Community Hospital LLC | 538 Broadway, Winnie, TX 77665-7600 |
| James L Slayton Jr. | Internal Medicine | Winnie Community Hospital LLC | 515 S Archie St, Riceland Clinic Vidor, Vidor, TX 77662-4868 |
| Sarah Sweeney | Podiatry | Winnie Community Hospital LLC | 538 Broadway, Winnie, TX 77665-7600 |
| Angela Rainey | Nurse Practitioner | Winnie Community Hospital LLC | 538 Broadway, Winnie, TX 77665-7600 |
| Daylon Douglas Long | Nurse Practitioner | Winnie Community Hospital LLC | 538 Broadway, Winnie, TX 77665-7600 |
| Street Address |
538 BROADWAY |
| City | WINNIE |
| State | TX |
| Zip | 77665-7600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danny L Thompson | Physician Assistant | Winnie Community Hospital LLC | 538 Broadway, Winnie, TX 77665-7600 |
| Azhar Latif | Pediatric Medicine | Winnie Community Hospital LLC | 538 Broadway, Winnie, TX 77665-7600 |
| Sarah Sweeney | Podiatry | Winnie Community Hospital LLC | 538 Broadway, Winnie, TX 77665-7600 |
| Angela Rainey | Nurse Practitioner | Winnie Community Hospital LLC | 538 Broadway, Winnie, TX 77665-7600 |
| Daylon Douglas Long | Nurse Practitioner | Winnie Community Hospital LLC | 538 Broadway, Winnie, TX 77665-7600 |
| Naseer Khan | Family Medicine | Winnie Community Hospital LLC | 538 Broadway, Winnie, TX 77665-7600 |
| City | WINNIE |
| Zip Code | 77665 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WINNIE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Nedrana Boutte.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.