Organization Active NPI

Andrea Vidrine

  • Social Worker
  • Lafayette, LA
National Provider Identifier
1023572807
Registry record updated Jan 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
ANDREA VIDRINE
Practice address
1000 W Pinhook Rd Ste 311
Lafayette, LA 70503-2460
Phone
(337) 288-7022
NPI assigned
Jan 26, 2019
Last updated
Jan 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2019

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

Authorized official

Name
Andrea Vidrine
Title
Owner
Phone
(337) 288-7022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

1000 W Pinhook Rd Ste 311
Lafayette, LA 70503-2460

Mailing address

630 S Corporation St
Church Point, LA 70525-4208
Phone (337) 288-7022

Other practice location 1

630 S Corporation St
Church Point, LA 70525-4208
Phone (337) 288-7022

National Provider Directory

National Provider Directory

Locations

1000 W Pinhook Rd
Ste 311
Lafayette, LA 70503
Phone (337) 288-7022

NPI Registry JSON

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

{
    "created_epoch": "1548460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548460800000",
    "number": "1023572807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S CORPORATION ST",
            "city": "CHURCH POINT",
            "state": "LA",
            "postal_code": "705254208",
            "telephone_number": "337-288-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W PINHOOK RD STE 311",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032460",
            "telephone_number": "337-288-7022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 S Corporation St",
            "address_purpose": "LOCATION",
            "city": "Church Point",
            "state": "LA",
            "postal_code": "705254208",
            "country_code": "US",
            "telephone_number": "337-288-7022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANDREA VIDRINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-26",
        "last_updated": "2019-01-26",
        "status": "A",
        "authorized_official_last_name": "VIDRINE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-288-7022"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "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 Jan 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.