HEALTH BOUTIQUE
NPI 1649166984
Nurse Practitioner - Family in Breaux Bridge, LA

Active since June 13, 2025
606 LATIOLAIS DR UNIT A, BREAUX BRIDGE, LA 70517(337) 414-6463(337) 414-6483 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Health Boutique NPPES

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

HEALTH BOUTIQUE (NPI 1649166984) is a healthcare organization registered as a family in Breaux Bridge, Louisiana and active in the NPI registry since June 2025. The organization lists Mhykeisha Katrese Evans-george, Sole Member/owner, as its authorized official.

NPPES Registry Identity

NPI1649166984
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameHEALTH BOUTIQUE
Location Address606 LATIOLAIS DR UNIT ABreaux Bridge, LA 70517-4231
Mailing Address203 Timberland Ridge BlvdLafayette, LA 70507-2746 · (318) 458-4523
Fax(337) 414-6483
Organization SubpartNo
Authorized OfficialMhykeisha Katrese Evans-georgeSole Member/owner · (318) 458-4523
Enumeration DateJune 13, 2025
NPPES CertifiedJune 13, 2025
✔ NPI 1649166984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
606 LATIOLAIS DR UNIT A, Breaux Bridge, LA 70517

Other Names 1

Other NameHealth Boutique Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Health Boutique is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Health Boutique, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1750881116
155 ODD FELLOWS RD
Crowley, LA 70526
(337) 514-5200
✔ PECOS✔ Accepts Medicare29 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Health Boutique's NPI number?

The NPI number for Health Boutique is 1649166984. It was assigned to this organization in the NPPES registry on June 13, 2025. The provider is also known as Health Boutique LLC.

Where is Health Boutique located?

Health Boutique is located at 606 Latiolais Dr Unit A, Breaux Bridge, LA 70517. The listed phone number is (337) 414-6463.

What is Health Boutique's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Health Boutique enrolled in Medicare?

Yes. Health Boutique is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Health Boutique?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Health Boutique. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Health Boutique was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.