NPIMap

Organization Active NPI

Kidney Treatment Options Center of Lafayette LLC

  • Nephrology Physician
  • Opelousas, LA
National Provider Identifier
1013134147
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
KIDNEY TREATMENT OPTIONS CENTER OF LAFAYETTE LLC
Practice address
927 E Prudhomme St
Opelousas, LA 70570-8240
Phone
(337) 594-8535
Fax
(337) 594-8534
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Mr. James E Attrill Jr.
Title
President, Member
Phone
(615) 327-3061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

927 E Prudhomme St
Opelousas, LA 70570-8240

Mailing address

927 E Prudhomme St
Opelousas, LA 70570-8240
Phone (337) 594-8535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070606000507 LA Part B Supplier - Clinic/Group Practice 8921106485 Receives reassigned benefits from 2 practitioners
Practice locations: Opelousas, LA; Lafayette, LA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

927 E Prudhomme St
Opelousas, LA 70570
Phone (337) 594-0675

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1013134147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 E PRUDHOMME ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705708240",
            "telephone_number": "337-594-8535",
            "fax_number": "337-594-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 E PRUDHOMME ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705708240",
            "telephone_number": "337-594-8535",
            "fax_number": "337-594-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY TREATMENT OPTIONS CENTER OF LAFAYETTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "ATTRILL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT, MEMBER",
        "authorized_official_telephone_number": "615-327-3061",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.