Healthcare Provider Details

I. General information

NPI: 1407495864
Provider Name (Legal Business Name): CAITLYN BLANCHARD CHAPLAIN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAITLYN ALAINE BLANCHARD

II. Dates (important events)

Enumeration Date: 01/03/2020
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4224 HOUMA BLVD STE 640
METAIRIE LA
70006-2939
US

IV. Provider business mailing address

6930 GENERAL DIAZ ST
NEW ORLEANS LA
70124-3436
US

V. Phone/Fax

Practice location:
  • Phone: 504-988-5271
  • Fax:
Mailing address:
  • Phone: 504-810-5965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number207554
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number207554
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: