Dr. Mikki S. Bouquet M.D.
Pediatrics Physician in Baton Rouge, LA(View on Map)
Full Name
Dr. Mikki Smith Bouquet M.D.
NPI Number
1144602590
NPI Type
Individual Provider
Gender
Female
Enumeration Date
06/22/2015
Specialties
(Taxonomies)Licenses
State
Louisiana
Louisiana
License Number
307924
PGY.202956
Contact
Information
Purpose
Mailing
Location
Address
5959 S SHERWOOD FOREST BLVD
8415 GOODWOOD BLVD STE 202
City
Baton Rouge
Baton Rouge
State
LA
LA
Postal Code
70816-6038
70806-7851
Country
US
US
Telephone Number
(225) 765-8013
(225) 765-8013
Health Information Exchange
Endpoint Type
DIRECT
FHIR
Endpoint
mbouquet12552@direct.casso.us.com
https://epicproxy.et0830.epihosted.com/FHIRPoxy/api/FHIR/DSTU2/
Endpoint Description
FMOLHS-Epic
FMOLHS FHIR URL
Use
Direct
Other
Content Type
Other
Other Description:mbouquet12552@direct.casso.us.com
Other
Other Description:C-CDA
Affiliation
N
N
Endpoint Location
8415 Goodwood Blvd Ste 202Baton Rouge, LA708067851US
8415 Goodwood Blvd Ste 202Baton Rouge, LA708067851US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/05/2024