JANIS LEE LYDICK (NPI# 1689022139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689022139 |
| Entity Type | Individual |
| Full Name | JANIS LEE LYDICK |
| Other Name | JANIS LYDICK RICKE |
| Credential | WHNP |
| Practice Address |
4600 Ambassador Caffery Pkwy Lafayette LA 70508 |
| Mailing Address |
4600 Ambassador Caffery Pkwy Lafayette LA 70508-6902 |
| Practice Telephone | 3375219100 |
| Mailing Telephone | 3375219100 |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2019-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP08749 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508 | 3375219100 |
| Street Address |
4600 AMBASSADOR CAFFERY PKWY |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285635508 | Joan Grode Marshak | Pathology | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 | 2005-08-09 |
| 1023630365 | Ellis Nguyen | Pharmacist | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 | 2020-05-09 |
| 1376165837 | Thai Cao | Pharmacist | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 | 2020-05-07 |
| 1649892183 | Martin Nguyen | Pharmacist | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 | 2020-05-06 |
| 1437798865 | Nicholas Mccullough | Nurse Anesthetist, Certified Registered | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 | 2020-01-02 |
| 1669970489 | Morgan Adams Eason | Physician Assistant | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6923 | 2018-01-26 |
| 1770023079 | Brittany Shaheen Lanclos | Nurse Practitioner | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508 | 2017-03-06 |
| 1295195253 | Tricia Ann Templet | Nurse Practitioner | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 | 2016-03-02 |
| 1891152385 | Brandi Prather | Nurse Practitioner | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 | 2016-01-28 |
| 1083017271 | Banee Madison | Physician Assistant | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 | 2014-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225361827 | Paulette Guidry Landry | Nurse Practitioner | U L Lafayette Student Health, 120 Boucher Dr., Lafayette, LA 70504-0001 | 2009-09-14 |
| 1467695700 | Heather M Lenox | Nurse Practitioner | 4540 Amb Caffery Pkwy, Ste C 220, Lafayette, LA 70508-6928 | 2009-04-16 |
| 1376741462 | Dianne Freeman-moore | Nurse Practitioner | 819 Woodmere Dr, Lafayette, IN 47905-5604 | 2007-07-10 |
| 1861554115 | Trent Fogleman, M.d., LLC | Nurse Practitioner | 1817 Bertrand Dr., Suite D, Lafayette, LA 70506 | 2006-12-14 |
| 1013470004 | Fallon Savoy Guidry | Nurse Practitioner | 4630 Ambassador Caffery Pkwy, Ste 204, Lafayette, LA 70508 | 2019-04-08 |
| 1154880128 | Sabrina Darbonne | Nurse Practitioner | 105 Corporate Blvd, Lafayette, LA 70508-3850 | 2019-03-18 |
| 1568941169 | Hailey S Hannon | Nurse Practitioner | 964 Mezzanine Dr, Lafayette, IN 47905-8631 | 2018-08-14 |
| 1821538174 | Lauren Elizabeth Hammer | Nurse Practitioner | 300 Exempla Cir, Suite 470, Lafayette, CO 80026-3397 | 2017-03-06 |
| 1942663885 | Aundria Hebert Cannon | Nurse Practitioner | 435 Heymann Blvd, Lafayette, LA 70503-2616 | 2016-03-29 |
| 1700214525 | Ebony Smith | Nurse Practitioner | 500 Patterson St, Lafayette, LA 70501-1849 | 2013-10-15 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on JANIS LEE LYDICK.
| 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.