KIDNEY CARE OF ACADIANA IN LAFAYETTE (NPI# 1245304674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245304674 |
| Entity Type | Organization |
| Organization Name | KIDNEY CARE OF ACADIANA IN LAFAYETTE |
| Practice Address |
224 Saint Landry St Suite 3-c Lafayette LA 70506-3549 |
| Practice Telephone | 3372315511 |
| Mailing Telephone | 3372315511 |
| Enumeration Date | 2006-11-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MASOUD YAZDI (OWNER MEDICAL DIREC TOR) |
| Authorized Official Telephone | 3372333538 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 261Q00000X | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1116394 | 05 |
| Street Address |
224 SAINT LANDRY ST SUITE 3-C |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-3549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477543239 | Masoud Yazdi | Internal Medicine | 224 Saint Landry St, Suite 1-c, Lafayette, LA 70506-3549 | 2005-10-24 |
| 1639724735 | Shanta Daney | Case Manager/Care Coordinator | 224 Saint Landry St, Lafayette, LA 70506-3549 | 2019-08-06 |
| 1750837381 | Comprehensive Neurologics and Sleep | Clinic/Center | 224 Saint Landry St, Suite 2b, Lafayette, LA 70506-3549 | 2016-09-01 |
| 1649674359 | Dialysis Clinic Inc | Clinic/Center | 224 Saint Landry St, Suite 3c, Lafayette, LA 70506-3549 | 2014-10-09 |
| 1275943615 | Price & Associates Family Dentistry | Dentist | 224 Saint Landry St, Suite 2a, Lafayette, LA 70506-3549 | 2014-05-07 |
| 1619143138 | Sleep Solutions of Lafayette | Durable Medical Equipment & Medical Supplies | 224 Saint Landry St, Suite 1-b, Lafayette, LA 70506-3549 | 2008-05-05 |
| 1346416302 | Sleep Solutions of Lafayette, LLC | Clinic/Center | 224 Saint Landry St, Suite 1-b, Lafayette, LA 70506-3549 | 2008-04-30 |
| 1649312455 | Metropolitan Health Group, LLC | Clinic/Center | 224 Saint Landry St, Suite 1-g, Lafayette, LA 70506-3549 | 2007-02-12 |
| 1821163304 | Kidney Care of Acadiana | Clinic/Center | 224 Saint Landry St, Suite 1-c, Lafayette, LA 70506-3549 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
| Find all providers in zip 70506 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899416 | Boulder Community Health | Clinic/Center | 1000 W South Boulder Rd Ste 216a, Lafayette, CO 80026-2089 | 2020-10-23 |
| 1326676479 | Royal Health & Wellness Clinic LLC | Clinic/Center | 108 Riverbirch Dr, Lafayette, LA 70508-1819 | 2020-04-01 |
| 1770118481 | Lazco | Clinic/Center | 1120 W South Boulder Rd Ste 102, Lafayette, CO 80026-8952 | 2020-03-03 |
| 1750941902 | Unity Healthcare LLC | Clinic/Center | 1345 Unity Pl Ste 220, Lafayette, IN 47905-5761 | 2019-06-19 |
| 1942659354 | Michele Mclaverty | Clinic/Center | 379 Castello Rd, Lafayette, CA 94549-5606 | 2016-06-07 |
| 1215385455 | Truth Soldier LLC | Clinic/Center | 1200 W South Boulder Rd Ste 103, Lafayette, CO 80026-2833 | 2016-05-27 |
| 1427425883 | Anu Gupta Desai, M.d., LLC | Clinic/Center | 155 Hospital Dr., Ste 300, Lafayette, LA 70503 | 2015-09-01 |
| 1346633831 | Minute Med Clinic - Pont De Mouton LLC | Clinic/Center | 104 Banister Court, Suite 1c, Lafayette, LA 70507 | 2015-03-09 |
| 1982045035 | Lafayette Family Healthcare Inc | Clinic/Center | 2008 Eraste Landry Rd, Suite B, Lafayette, LA 70506-1913 | 2013-07-17 |
| 1467710608 | Pediakare De Lousiana | Clinic/Center | 900 Walker Rd, Lafayette, LA 70506-1371 | 2012-04-25 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.