IndividualActive
Raven Boutte
NPI 1982374187 · Clinical Pathology Physician · Lafayette, LA
Provider details
- NPI number
- 1982374187
- Entity type
- Individual
- Primary specialty
- Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1003007 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4510 Ambassador Caffery Pkway
Lafayette, LA 70508
Phone: (337) 458-3835
Street-level locationGet directions
Mailing address
100 Mcdonald St Apt D17
Lafayette, LA 70506
Registry dates
- Enumerated
- 2021-09-18
- Last updated
- 2021-09-18
- Certified
- 2021-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.