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THERESA FREDERICK BODKER APRN NPI 1629358866


NPI Information

NPI: 1629358866
Provider Name: THERESA FREDERICK BODKER, APRN
Classification: Clinical Nurse Specialist - 364S00000X
Entity Type: Individual
Organization: LAFAYETTE GENERAL MEDICAL CENTER INC

PECOS Registration: Yes

Address:
1211 COOLIDGE BLVD
SUITE 100
LAFAYETTE, LA
ZIP 70503
Phone: (337) 289-8400
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Theresa Frederick Bodker, APRN is a clinical nurse specialist in Lafayette, LA with 30 years of experience. The provider is a registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. Theresa Frederick Bodker, APRN NPI is 1629358866. 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:

1211 COOLIDGE BLVD
SUITE 100
LAFAYETTE, LA
ZIP 70503-636
Phone: (337) 289-8400
Fax: (337) 289-8401

The NPI 1629358866 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 enumeration date for this NPI number is 8/19/2011 and was last updated on 4/18/2012.


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
1364S00000XClinical Nurse SpecialistAP01091LOUISIANAYes

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.