| Kristin Dawn Fortier, FNP-C | |
|
22080 Hwy 20, Vacherie, LA 70090 | |
| (985) 265-3061 | |
| Not Available |
| Full Name | Kristin Dawn Fortier |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 22080 Hwy 20, Vacherie, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306963723 | NPI | - | NPPES |
| 2119761 | Medicaid | LA | |
| 3C865CS40 | Other | LA | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP05988 (Louisiana) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | AP05988 (Louisiana) | Primary |
| Entity Name | St Joseph Medical Clinic a Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255348843 PECOS PAC ID: 9335189109 Enrollment ID: O20050921000039 |
| Entity Name | Calcasieu Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467715490 PECOS PAC ID: 5496908071 Enrollment ID: O20130109000768 |
| Entity Name | Monogram Health Professional Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659987436 PECOS PAC ID: 4880004183 Enrollment ID: O20201228000491 |
| Entity Name | Signify Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210210001575 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Dawn Fortier, FNP-C 424 Hale, Thibodaux, LA 70301 Ph: (985) 859-8954 | Kristin Dawn Fortier, FNP-C 22080 Hwy 20, Vacherie, LA 70090 Ph: (985) 265-3061 |
Mrs. Denise Louque, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21420 Highway 20, Vacherie, LA 70090 Phone: 225-265-3013 |
Marquita Dumas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19984 Highway 643, Vacherie, LA 70090 Phone: 225-624-9523 |
Nancy J Bloodworth, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22080 Highway 20, Vacherie, LA 70090 Phone: 225-265-3061 Fax: 225-265-3062 |
Julie B Chenier, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 29240 Highway 20, Vacherie, LA 70090 Phone: 225-717-1238 |
Mrs. Dana Lynn Brown, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 19916 Highway 643, Vacherie, LA 70090 Phone: 225-624-9711 |
Mrs. Francine Louise Waguespack, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21420 Highway 20, Vacherie, LA 70090 Phone: 225-265-3013 Fax: 225-265-3775 |
Courtney Alison Becnel, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22080 Highway 20, Vacherie, LA 70090 Phone: 225-265-3061 |