THERESA FREDERICK BODKER APRN
NPI 1629358866
Clinical Nurse Specialist in Lafayette, LA

Active since August 19, 2011
73.36/100
CMS Quality Rating
1211 COOLIDGE BLVD, SUITE 100, LAFAYETTE, LA 70503(337) 289-8400(337) 289-8401 Get Directions Write a Review

NPPES record last updated: April 18, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Theresa Frederick Bodker Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA FREDERICK BODKER APRN (NPI 1629358866) is an individual clinical nurse specialist in Lafayette, Louisiana, licensed in Louisiana (AP01091) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1629358866
Entity TypeIndividualFemale
Primary Taxonomy364S00000X
Provider Legal NameTHERESA FREDERICK BODKERCredential: APRN
Location Address1211 COOLIDGE BLVD, SUITE 100Lafayette, LA 70503-2636
Mailing AddressPo Box 62600New Orleans, LA 70162-2600 · (337) 706-1506 · Fax (337) 981-9257
Fax(337) 289-8401
Sole ProprietorNo
Enumeration DateAugust 19, 2011
Last NPPES UpdateApril 18, 2012
NPI 1629358866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364S00000X
License Licensed in LA · AP01091
Definition
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.
1211 COOLIDGE BLVD, Lafayette, LA 70503

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.45
Promoting Interoperability75
Improvement Activities40
Cost41.42

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1211 COOLIDGE BLVD, STE 300
LAFAYETTE, LA 70503
Anesthesiology
1211 COOLIDGE BLVD, SUITE 302
LAFAYETTE, LA 70503
Clinic/Center (Ambulatory Surgical)
1211 COOLIDGE BLVD, SUITE 302
LAFAYETTE, LA 70503
Specialist
1211 COOLIDGE BLVD, STE 403
LAFAYETTE, LA 70503
Nurse Practitioner (Adult Health)
1211 COOLIDGE BLVD, SUITE 303
LAFAYETTE, LA 70503
Nurse Practitioner (Pediatrics)
1211 COOLIDGE BLVD
LAFAYETTE, LA 70503
Surgery
1211 COOLIDGE BLVD, SUITE 304
LAFAYETTE, LA 70503
Nurse Practitioner (Family)
1211 COOLIDGE BLVD
LAFAYETTE, LA 70503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Bodker's NPI number?

The NPI number for Theresa Bodker is 1629358866. It was assigned to this individual provider in the NPPES registry on August 19, 2011.

Where is Theresa Bodker located?

Theresa Bodker practices at 1211 Coolidge Blvd Suite 100, Lafayette, LA 70503. The listed phone number is (337) 289-8400.

What is Theresa Bodker's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

When was this NPI record last updated?

The NPPES record for Theresa Bodker was last updated on April 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.