Organization Active NPI

Quickmed After Hours Walk in Clinic

  • Family Nurse Practitioner
  • New Iberia, LA
National Provider Identifier
1063995488
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
QUICKMED AFTER HOURS WALK IN CLINIC
Practice address
814 Jefferson Ter Ste a
New Iberia, LA 70560-5727
Phone
(337) 256-5123
Fax
(337) 256-5304
NPI assigned
Sep 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Authorized official

Name
Kala Lawrence, NPNPI 1588095798
Title
Ceo
Phone
(337) 256-5123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

814 Jefferson Ter Ste a
New Iberia, LA 70560-5727

Mailing address

814 Jefferson Ter Ste a
New Iberia, LA 70560-5727
Phone (337) 256-5123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181114000962 LA Part B Supplier - Clinic/Group Practice 6406100288 Receives reassigned benefits from 7 practitioners
Practice locations: New Iberia, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2156516Quickmed After Hours Walk in Clinic814 Jefferson Terrace, Suite a, New Iberia, LA 70560Certificate of waiverOct 18, 2026

National Provider Directory

National Provider Directory

Locations

814 Jefferson Ter
Ste A
New Iberia, LA 70560
Phone (337) 256-5123

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18475/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1063995488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 JEFFERSON TER STE A",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705605727",
            "telephone_number": "337-256-5123",
            "fax_number": "337-256-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 JEFFERSON TER STE A",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705605727",
            "telephone_number": "337-256-5123",
            "fax_number": "337-256-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUICKMED AFTER HOURS WALK IN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "KALA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-256-5123",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.