Active NPI
Katie Dennis, M.D. a.P.M.C
- Internal Medicine Physician
- Lafayette, LA
National Provider Identifier
1013419779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 304171
- Legal business name
- KATIE DENNIS, M.D. A.P.M.C
- Practice address
- 4809 Ambassador Caffery Pkwy Ste 410
Lafayette, LA 70508-8802 - Phone
- (337) 504-3335
- Fax
- (337) 504-4735
- NPI assigned
- Mar 8, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Catherine Beaullieu
- Title
- Adminstrator
- Phone
- (337) 504-3335
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 304171 | LA | Primary |
Addresses
Primary practice location
4809 Ambassador Caffery Pkwy Ste 410
Lafayette, LA 70508-8802
Mailing address
4809 Ambassador Caffery Pkwy Ste 410
Lafayette, LA 70508-8802
Phone (337) 504-3335
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1520467200000",
"number": "1013419779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4809 AMBASSADOR CAFFERY PKWY STE 410",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705088802",
"telephone_number": "337-504-3335",
"fax_number": "337-504-4735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4809 AMBASSADOR CAFFERY PKWY STE 410",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705088802",
"telephone_number": "337-504-3335",
"fax_number": "337-504-4735"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATIE DENNIS, M.D. A.P.M.C",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-08",
"last_updated": "2018-03-08",
"status": "A",
"authorized_official_last_name": "BEAULLIEU",
"authorized_official_first_name": "CATHERINE",
"authorized_official_title_or_position": "ADMINSTRATOR",
"authorized_official_telephone_number": "337-504-3335"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "LA",
"license": "304171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.