Active NPI
Kimberly David, PH.D
- Psychologist
- Lafayette, LA
National Provider Identifier
1053729368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1389
- Practice address
- 132 Demanade Blvd
Lafayette, LA 70503-2508 - Phone
- (337) 534-8679
- NPI assigned
- Jul 30, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1389 | LA | Primary |
Addresses
Primary practice location
132 Demanade Blvd
Lafayette, LA 70503-2508
Mailing address
108 Lake St
Abbeville, LA 70510-6503
Phone (225) 571-6398
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1389 | LA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482105600000",
"number": "1053729368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 LAKE ST",
"city": "ABBEVILLE",
"state": "LA",
"postal_code": "705106503",
"telephone_number": "225-571-6398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 DEMANADE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032508",
"telephone_number": "337-534-8679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVID",
"first_name": "KIMBERLY",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-30",
"last_updated": "2016-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "LA",
"license": "1389",
"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 Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.