NPIMap

Organization Active NPI

Insulinic of Gretna LLC

  • Internal Medicine Physician
  • Gretna, LA
National Provider Identifier
1063165934
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INSULINIC OF GRETNA LLC
Practice address
1500 Lafayette St Ste 141
Gretna, LA 70053-5758
Phone
(337) 254-9999
Fax
(337) 522-7543
NPI assigned
Feb 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Authorized official

Name
Megan Mary Scerbo
Title
Office Manager
Phone
(337) 254-9999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Infusion Therapy Clinic/Center 261QI0500X

Addresses

Primary practice location

1500 Lafayette St Ste 141
Gretna, LA 70053-5758

Mailing address

220 Johnston St
Lafayette, LA 70501-8059
Phone (337) 254-9999

National Provider Directory

National Provider Directory

Locations

220 Johnston St
Lafayette, LA 70501
Phone (337) 254-9999

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1063165934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 JOHNSTON ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705018059",
            "telephone_number": "337-254-9999",
            "fax_number": "337-522-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LAFAYETTE ST STE 141",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700535758",
            "telephone_number": "337-254-9999",
            "fax_number": "337-522-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSULINIC OF GRETNA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "SCERBO",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-254-9999"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.