LSU HEALTHCARE NETWORK - LAFAYETTE (NPI# 1568944486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568944486 |
| Entity Type | Organization |
| Organization Name | LSU HEALTHCARE NETWORK - LAFAYETTE |
| Practice Address |
2390 W Congress St Lafayette LA 70506-4205 |
| Mailing Address |
2025 Gravier St Fl 6 New Orleans LA 70112-2269 |
| Practice Telephone | 3372616100 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |
| Authorized Official Name | ATARA MCAVOY (CFO) |
| Authorized Official Telephone | 5044121819 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
2390 W CONGRESS ST |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568468353 | Tina Marie Boudreaux | Nurse Practitioner | 2390 W Congress St, Lafayette, LA 70506-4205 | 2005-06-26 |
| 1548869647 | Alex Marie Boudreaux | Audiologist | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-10-20 |
| 1265042782 | University Hospital & Clinics, Inc. | Clinic/Center | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-08-10 |
| 1619599479 | Angela Leblanc | Pharmacist | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-05-14 |
| 1366064388 | Suzette Bonneval | Pharmacist | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-05-13 |
| 1134757032 | Jacob Michael Clement | Student in an Organized Health Care Education/Training Program | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-03-28 |
| 1902433535 | De'angellica Vaughn-allen | Student in an Organized Health Care Education/Training Program | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-03-24 |
| 1891322665 | Joseph Gohres Prechter Jr. | Student in an Organized Health Care Education/Training Program | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-03-23 |
| 1861028904 | Christopher Chedid | Student in an Organized Health Care Education/Training Program | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-03-20 |
| 1750917712 | Priscilla Tutu | Student in an Organized Health Care Education/Training Program | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-03-20 |
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| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578929 | Ann Marie Spratt | Specialist | 3248 Sentinel Heights Road, Lafayette, NY 13084 | 2020-11-03 |
| 1346865813 | Boulder Valley Asthma & Allergy Clinics, PC | Specialist | 588 N Us Highway 287 Ste 204, Lafayette, CO 80026-2615 | 2020-06-10 |
| 1659828606 | Larissa Geleris | Specialist | 3400 Mt Diablo Blvd, Suite 200, Lafayette, CA 94549-3956 | 2016-09-07 |
| 1255781381 | Vernon Valentino Md Apmc | Specialist | 5000 Amb Caffery Pkwy Ste 100, Lafayette, LA 70508-6984 | 2016-06-20 |
| 1770933228 | Allison O'grady | Specialist | 995 S Creasy Ln, Lafayette, IN 47905-4800 | 2016-06-15 |
| 1568816064 | Cecile Marie Picou | Specialist | 114 Greenhaven Dr, Lafayette, LA 70508-6545 | 2016-04-20 |
| 1922438522 | Indiana Wellness, LLC | Specialist | 1221 S Creasy Ln Ste K3, Lafayette, IN 47905-7430 | 2013-11-18 |
| 1073947701 | Onsite Healthcare Solutions, LLC | Specialist | 208 River Oak Cir, Lafayette, LA 70508-6742 | 2013-08-29 |
| 1083964167 | Sheila Kitson Stosick | Specialist | 3253 Judy Ln, Lafayette, CA 94549-4707 | 2012-09-14 |
| 1598030181 | Neuro Diagnostic Monitoring, LLC | Specialist | 106 Amaryllis Dr, Lafayette, LA 70503-3215 | 2012-03-14 |
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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.