1407495864 NPI number — CAITLYN BLANCHARD CHAPLAIN NP

Table of content: CAITLYN BLANCHARD CHAPLAIN NP (NPI 1407495864)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407495864 NPI number — CAITLYN BLANCHARD CHAPLAIN NP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHAPLAIN
Provider First Name:
CAITLYN
Provider Middle Name:
BLANCHARD
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
NP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BLANCHARD
Provider Other First Name:
CAITLYN
Provider Other Middle Name:
ALAINE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1407495864
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/02/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4224 WEST ESPLANADE AVENUE
Provider Second Line Business Mailing Address:
SUITE 640
Provider Business Mailing Address City Name:
METAIRIE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70006
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-503-7500
Provider Business Mailing Address Fax Number:
504-503-6082

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4224 WEST ESPLANADE AVE
Provider Second Line Business Practice Location Address:
SUITE 640
Provider Business Practice Location Address City Name:
METAIRIE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70006-2939
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-504-5037
Provider Business Practice Location Address Fax Number:
504-503-6082
Provider Enumeration Date:
01/03/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  207554 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207Q00000X , with the licence number: 207554 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2518429 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




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