Diabetes Relief of Acadiana LLC

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

Legal business name

DIABETES RELIEF OF ACADIANA LLC

Practice address

1223 Camellia Blvd Ste 100
Lafayette, LA 70508-7220

Phone

(337) 270-9093

Fax

(337) 270-9094

NPI assigned

Nov 19, 2021

Organization subpart

No

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

Authorized official

Name

Jamie Holmes

Title

Managing Employee

Phone

(337) 962-2488

Specialties & licenses 4

Addresses

Practitioners 1

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

• Jaime Miguel Cordova, MD

  • Internal Medicine Physician
  • Breaux Bridge, LA
  • NPI 1841309556
  NPD

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1023775475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 CAMELLIA BLVD STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087220",
            "telephone_number": "337-270-9093",
            "fax_number": "337-270-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 CAMELLIA BLVD STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087220",
            "telephone_number": "337-270-9093",
            "fax_number": "337-270-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES RELIEF OF ACADIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "337-962-2488"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Deville, B.A
• Kelsey Soileau Devillier
• Devin Dupre LLC
• Tammy Ann Dhuet
• Diabetes & Nutrition Educators, LLC
• Diabetes Self-Management Center, Inc.
• Laura Elizabeth Dial, LCSW
• Dialysis Clinic Inc
• Dialysis Clinic Inc
• Diamond Express Transportation LLC

• All providers in Lafayette, LA
• Public Health & General Preventive Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.