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

Ty Anthony Gautreau, NP

Individual provider Family Nurse Practitioner · NPI 1548438286

Ty Anthony Gautreau, NP is a Nurse Practitioner in Baton Rouge, Louisiana. Qualified in 2005, 21 years ago. Practices with Lake Urgent Care Ascension LLC, a 23-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
21
Licensed in
LA
In the registry since
2008
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

12525 Perkins Rd
Baton Rouge, LA 70810-1907
Phone: (225) 819-8857
Fax: (225) 767-6822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP04859 (LA)

Record details

NPI number1548438286
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 15, 2008
Last updated in NPPESJune 30, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Lake Urgent Care Ascension Llc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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