Individual provider Active NPI

Alison T. Cantrall, NP

  • Family Nurse Practitioner
  • New Iberia, LA
National Provider Identifier
1003227513
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07708 Issued in LA
Practice address
2309 E Main St
Suite 301
New Iberia, LA 70560-4046
Phone
(337) 364-4415
Fax
(337) 364-4495
NPI assigned
May 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP07708 LA Primary

Addresses

Primary practice location

2309 E Main St
Suite 301
New Iberia, LA 70560-4046

Mailing address

4809 Ambassador Caffery Pkwy
Suite 110
Lafayette, LA 70508-8800
Phone (337) 235-7898

Other practice location 1

2600 Johnston St
Lafayette, LA 70503-3269
Phone (337) 889-5364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140528000768 LA Practitioner - Nurse Practitioner 8325261100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatric Group of Acadiana, LLCGroup PAC ID 2466476023, 14 clinicians

Practice addresses (Care Compare)

1119 N Main St
SMV Maternal Child Clinic
Saint Martinville, LA 70582-3513
Phone (337) 394-7774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP07708LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Group of Acadiana LLC CurrentSince May 29, 2017 Accepting new patients
Palliative Medicine of Acadiana CurrentSince Jul 8, 2024 Accepting new patients
Pediatric Group of Acadiana, LLC CurrentSince May 29, 2017 Accepting new patients
Pediatric Group of Acadiana, LLC CurrentSince May 29, 2017 Accepting new patients
Lourdes Physician Group LLC Nurse Practitioner Past Accepting new patients

Locations

803 Albertson Pkwy
Broussard, LA 70518
Phone (337) 364-3301

2600 Johnston St
Ste 260
Lafayette, LA 70503
Phone (337) 889-5364

401 Youngsville Hwy
Ste 100
Lafayette, LA 70508
Phone (337) 330-0031

401 Youngsville Hwy
#100
Lafayette, LA 70508
Phone (337) 330-0031

401 Youngsville Hwy
Ste 200B
Lafayette, LA 70508
Phone (337) 330-0031

2600 Johnston St
Lafayette, LA 70503
Phone (337) 232-1234

2308 E Main St
Ste G
New Iberia, LA 70560
Phone (337) 367-2001

1119 N Main St
St Martinvlle, LA 70582
Phone (337) 394-7774

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1003227513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE 110",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088800",
            "telephone_number": "337-235-7898",
            "fax_number": "337-235-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 E MAIN ST",
            "address_2": "SUITE 301",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604046",
            "telephone_number": "337-364-4415",
            "fax_number": "337-364-4495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Johnston St",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705033269",
            "country_code": "US",
            "telephone_number": "337-889-5364",
            "fax_number": "337-210-5351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTRALL",
        "first_name": "ALISON",
        "middle_name": "T.",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

Verify at the official NPI Registry.