SOUTHERN ENT ASSOCIATES INC
NPI 1982108866
Nurse Practitioner in Thibodaux, LA

Q: What is Southern Ent Associates Inc's NPI number?

The NPI number for Southern Ent Associates Inc is 1982108866. It was assigned to this organization in the NPPES registry on March 23, 2018.

Q: What is Southern Ent Associates Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since March 23, 2018CLIA 19D2237803 · Waiver

604 N. ACADIA RD STE 101, THIBODAUX, LA 70301(985) 446-5079(877) 795-9281 Get Directions Write a Review

NPPES record last updated: March 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Southern Ent Associates Inc NPPES

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

SOUTHERN ENT ASSOCIATES INC (NPI 1982108866) is a healthcare organization registered as a nurse practitioner in Thibodaux, Louisiana and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through September 27, 2027 and lists Kristi R Tortorich, Coo, as its authorized official.

NPPES Registry Identity

NPI1982108866

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameSOUTHERN ENT ASSOCIATES INC

Location Address604 N. ACADIA RD STE 101Thibodaux, LA 70301

Mailing Address604 N. Acadia Rd Ste 101Thibodaux, LA 70301 · (985) 446-5079 · Fax (877) 795-9281

Phone(985) 446-5079

Fax(877) 795-9281

Organization SubpartNo

Authorized OfficialKristi R TortorichCoo · (985) 446-5079

Enumeration DateMarch 23, 2018

✔ NPI 1982108866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in LA · AP09823

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

604 N. ACADIA RD STE 101, Thibodaux, LA 70301

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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2237803

Southern Ent Associates, Inc - Thibodaux · Thibodaux, LA

Active · expires Sep 27, 2027

CLIA Number19D2237803

Laboratory TypePhysician Office

Certificate Effective DateSeptember 28, 2025

Certificate Expiration DateSeptember 27, 2027

Laboratory DirectorNicholas G. Sorrel

Laboratory Phone(985) 446-5079

Laboratory LocationSouthern Ent Associates, Inc - Thibodaux604 North Acadia Rd, Ste 101, Thibodaux, LA 70301

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. JAMES V BROUSSARD MD

Otolaryngology

604 N. ACADIA RD STE 101
THIBODAUX, LA 70301

Lafourche Parish (985) 446-5079

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 Southern Ent Associates Inc's NPI number?

The NPI number for Southern Ent Associates Inc is 1982108866. It was assigned to this organization in the NPPES registry on March 23, 2018.

Where is Southern Ent Associates Inc located?

Southern Ent Associates Inc is located at 604 N. Acadia Rd Ste 101, Thibodaux, LA 70301. The listed phone number is (985) 446-5079.

What is Southern Ent Associates Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Southern Ent Associates Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2237803) is associated with this NPI, valid through September 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southern Ent Associates Inc was last updated on March 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.