LISA A. CHAVIS LLC


Address: 2826 Louisiana Ave, 1202, Lafayette, LA 70501-1383
Phone: 3375017737

LISA A. CHAVIS LLC (NPI# 1477926715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477926715
Entity Type Organization
Organization Name LISA A. CHAVIS LLC
Practice Address 2826 Louisiana Ave
1202
Lafayette
LA 70501-1383
Practice Telephone 3375017737
Mailing Telephone 3375017737
Enumeration Date 2015-11-09
Last Update Date 2015-11-09
Authorized Official Name MISS LISA A. CHAVIS (MANAGER)
Authorized Official Telephone 3375017737
Authorized Official Credential APRN, PMHNP-BC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP07584 LA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2826 LOUISIANA AVE
1202
City LAFAYETTE
State LA
Zip Code 70501-1383

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City LAFAYETTE
Zip Code 70501

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Dataset Information

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.

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