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Edie Boudreaux LLC

Multi-Specialty Clinic/Center in New Iberia, LA · enumerated 2014 · authorized official Edie Pourciau, Owner/Nurse Practitioner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1457769358

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Registry record

Entity type Organization (Type 2)
Legal business name Edie Boudreaux LLC
Other name <Unavail>
Parent organization Edie Boudreaux LLC
Practice address 124 E Main St Ste 104, New Iberia, LA, 70560
Fax (337) 608-9933
Enumeration date Jul 24, 2014
Last updated in NPPES Sep 4, 2024

Taxonomy & classification

163W00000X Registered Nurse Nursing Service Providers Secondary
251J00000X Nursing Care Agency Agencies Secondary
261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Primary
305S00000X Point of Service Managed Care Organizations Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Edie Pourciau
Title Owner/Nurse Practitioner

Other identifiers

Identifier Type State Issuer
1309877 Medicaid LA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Edie Boudreaux LLC?
Edie Boudreaux LLC is registered in NPPES as a Multi-Specialty Clinic/Center (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-09-04.