Provider Type Icon

MS. DEIDRE ALLEN BOULTS FNP-C NPI 1013358530


NPI Information

NPI: 1013358530
Provider Name: MS. DEIDRE ALLEN BOULTS, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: MINUTECLINIC DIAGNOSTIC OF LOUISIANA, L.L.C.

PECOS Registration: Yes

Address:
5360 HIGHLAND RD
BATON ROUGE, LA
ZIP 70808
Phone: (225) 757-1023
Get Directions

MS. Deidre Allen Boults, FNP-C is a family nurse practitioner in Baton Rouge, LA with 12 years of experience. MS. Deidre Allen Boults, FNP-C NPI is 1013358530. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5360 HIGHLAND RD
BATON ROUGE, LA
ZIP 70808-548
Phone: (225) 757-1023
Fax: (225) 757-1053

The NPI 1013358530 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 7/12/2013 and was last updated on 6/27/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyAP07286LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.