| Mr Kollin James Mouton, MSN, APRN, FNP-C | |
|
118 Rue Fontaine, Lafayette, LA 70508-5745 | |
| (337) 534-8680 | |
| (337) 769-9934 |
| Full Name | Mr Kollin James Mouton |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 118 Rue Fontaine, Lafayette, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366167801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 227231 (Louisiana) | Primary |
| Entity Name | Neurological Associates Of Louisiana, L.l.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083721856 PECOS PAC ID: 2961301130 Enrollment ID: O20040107000316 |
| Entity Name | Check Point Urgent Care Of Crowley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750822151 PECOS PAC ID: 5991079444 Enrollment ID: O20170921001375 |
| Entity Name | Check Point Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932696812 PECOS PAC ID: 8426394628 Enrollment ID: O20190109000935 |
| 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 |
|---|---|
| Mr Kollin James Mouton, MSN, APRN, FNP-C 118 Rue Fontaine, Lafayette, LA 70508-5745 Ph: (337) 534-8680 | Mr Kollin James Mouton, MSN, APRN, FNP-C 118 Rue Fontaine, Lafayette, LA 70508-5745 Ph: (337) 534-8680 |
Lezette G. Vienne, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2390 W Congress St, Lafayette, LA 70506 Phone: 337-261-6000 | |
Michael Stephen Robichaux, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 443 Heymann Blvd Ste B, Lafayette, LA 70503 Phone: 337-289-8429 Fax: 337-289-8431 | |
Mrs. Brandi Rene Boutte, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Kaliste Saloom Rd Ste 304, Lafayette, LA 70508 Phone: 337-988-5646 Fax: 337-769-0031 | |
Quartivia Gibson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 202 General Gardner Ave, Lafayette, LA 70501 Phone: 337-232-9457 | |
Mrs. Jamila Anderson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1214 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-289-7991 | |
Erica Miller Piazza, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 309 Settlers Trace Blvd Ste 100, Lafayette, LA 70508 Phone: 337-989-7272 | |
Marshall Quinn Coco, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2730 Ambassador Caffery Pkwy, Lafayette, LA 70506 Phone: 337-988-1585 Fax: 337-988-1586 |