Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alicia Renee Gautreau

Individual provider Nurse Practitioner · NPI 1811426554

Alicia Renee Gautreau is a Nurse Practitioner in Baton Rouge, Louisiana. Graduated from Georgetown University School of Medicine in 2017, 9 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
9
Trained at
Georgetown University School of Medicine
Licensed in
LA
In the registry since
2017
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Practice location Address checks out

7777 Hennessy Blvd Ste 701
Baton Rouge, LA 70808-4370
Phone: (225) 765-5864
Fax: (225) 765-2013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 130367 (LA)

Record details

NPI number1811426554
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 7, 2017
Last updated in NPPESJanuary 7, 2021
Certification dateJanuary 7, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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