CAJUN SPINE AND SPORT, LLC (NPI# 1801057120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801057120 |
| Entity Type | Organization |
| Organization Name | CAJUN SPINE AND SPORT, LLC |
| Practice Address |
1602 W Pinhook Rd Suite 211 Lafayette LA 70508-3735 |
| Practice Telephone | 3372612669 |
| Mailing Telephone | 3372612669 |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | DR. KRISTIN L. BOUDREAUX (OWNER) |
| Authorized Official Telephone | 3372612669 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1467 | LA | Chiropractic Providers |
| Street Address |
1602 W PINHOOK RD SUITE 211 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-3735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962567875 | Rene Leblanc | Physical Therapist | 1602 W Pinhook Rd, Ste 103, Lafayette, LA 70508-3735 | 2006-12-22 |
| 1295145530 | Solutions Recovery, LLC | Clinic/Center | 1602 W Pinhook Rd, Suite 100a, Lafayette, LA 70508-3735 | 2014-05-07 |
| 1700137510 | Nova Dental Group, LLC | Dentist | 1602 W Pinhook Rd, Suite 303, Lafayette, LA 70508-3735 | 2012-09-20 |
| 1982908109 | Hanna Odile Brinkhaus | Social Worker | 1602 W Pinhook Rd, Lafayette, LA 70508-3735 | 2011-01-03 |
| 1932361094 | Eric Nathaniel Vondenstein | Dentist | 1602 W Pinhook Rd, Suite 303, Lafayette, LA 70508-3735 | 2008-06-30 |
| 1205033743 | Alison Z Legros | Dietitian, Registered | 1602 W Pinhook Rd, Suite 204, Lafayette, LA 70508-3735 | 2007-06-28 |
| 1750413225 | Lisa Rene Deshotel | Physician Assistant | 1602 W Pinhook Rd, Suite 100, Lafayette, LA 70508-3735 | 2007-03-11 |
| 1336204197 | Charles Langford | Family Medicine | 1602 W Pinhook Rd, Ste 100, Lafayette, LA 70508-3735 | 2006-12-22 |
| 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 | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811514763 | Daniel William Cadona | Chiropractor | 200 Beaullieu Dr Ste 9b2, Lafayette, LA 70508-7230 | 2020-06-26 |
| 1750920237 | Jennings Family Chiropractic Clinic Inc. | Chiropractor | 113 Flagg Place Suite A, Lafayette, LA 70508-7025 | 2019-12-31 |
| 1588219505 | Andrea Lynn Schrock | Chiropractor | 580 Viridian Dr Apt 310, Lafayette, CO 80026-7036 | 2019-08-06 |
| 1437620747 | Alexander James Schepler | Chiropractor | 297 N Us Highway 287 Ste 105, Lafayette, CO 80026-8953 | 2018-12-13 |
| 1538682554 | Jeremy Steel | Chiropractor | 1043 Stuart St Ste 100, Lafayette, CA 94549-4063 | 2017-07-21 |
| 1922534734 | Angelique Miller | Chiropractor | 108 Republic Ave, Suite B, Lafayette, LA 70508-6843 | 2017-05-11 |
| 1356880116 | Jereme' Chais Menard Sr. | Chiropractor | 130 Rue Beauregard Ste A, Lafayette, LA 70508-3130 | 2017-02-13 |
| 1659828143 | Nancy Lam | Chiropractor | 2 Walter Scholer Dr Ste B, Lafayette, IN 47909-6382 | 2016-09-01 |
| 1033563424 | Compass Chiropractic, Inc. | Chiropractor | 1365 Forest Park Cir Ste 102, Lafayette, CO 80026-3195 | 2016-04-21 |
| 1447617683 | Chelsey Lynn Lueken | Chiropractor | 2606 Veterans Memorial Pkwy S Ste 1, Lafayette, IN 47909-9192 | 2016-01-19 |
| 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.