EDIE BOUDREAUX LLC
EDIE BOUDREAUX LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1457769358, based in New Iberia, LA. The organization lists 7 taxonomy classifications, with Multi-Specialty Clinic/Center recorded as primary.
Getting there
The practice address on file is 124 E MAIN ST STE 104, New Iberia, LA 70560. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 9234356239
- Enrollment ID
- O20140815000338
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Multi-Specialty covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QM1300X
All registered taxonomy codes
This provider registers 7 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QM1300X | Multi-Specialty Clinic/Center Multi-Specialty | — | — | primary |
| 163W00000X | Registered Nurse | — | — | |
| 251J00000X | Nursing Care Agency | — | — | |
| 305S00000X | Point of Service | — | — | |
| 363L00000X | Nurse Practitioner | — | — | |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health | — | — | |
| 363LF0000X | Family Nurse Practitioner Family | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1457769358 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 24, 2014 |
| Last updated | Sep 4, 2024 |
| Status | Active |
| Practice address |
124 E MAIN ST STE 104 New Iberia, LA 70560 (337) 608-9922 Fax (337) 608-9933 |
| Mailing address |
PO BOX 9227 New Iberia, LA 70562 |
| Other identifiers |
1309877
· Medicaid (LA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 5 | 7 | 7 | 6 | 9 | 3 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 1 | 7 | 5 | 6 | 9 | 3 | 1 |
Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.