Fielder Family Clinic LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN130981 Issued in LA

Legal business name

FIELDER FAMILY CLINIC LLC

Practice address

503 N Church St
Carencro, LA 70520-3119

Phone

(337) 886-1200

Fax

(337) 886-0919

NPI assigned

Jan 16, 2017

Last updated

Apr 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rajah Fielder, FNPNPI 1033577838

Title

Owner

Phone

(337) 886-1200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rajah Fielder, FNP

  • Family Nurse Practitioner
  • Carencro, LA
  • NPI 1033577838
  Medicare reassignment NPD Authorized official
• John Charles Dugal, M.D.

  • Family Medicine Physician
  • Lafayette, LA
  • NPI 1578563847
  Medicare reassignment NPD
• Michael Patrick Kennedy, MD

  • Family Medicine Physician
  • Carencro, LA
  • NPI 1972514800
  NPD (past)

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1073059945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 N CHURCH ST",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705203119",
            "telephone_number": "337-886-1200",
            "fax_number": "337-886-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N CHURCH ST",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705203119",
            "telephone_number": "337-886-1200",
            "fax_number": "337-886-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIELDER FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "FIELDER",
        "authorized_official_first_name": "RAJAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-886-1200",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN130981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eeg Professionals
• Essential Wellcare
• Albertina Eulian, DEDICATED TO U
• Evelyn B Hanna OD a Professional Optometry Corp (Carencro Eye Clinic)
• Richard Bernard Feucht II, M.D.
• Rajah Fielder, FNP
• Pearlie B Flugence
• Ian Fontenot, DDS
• Leslie Dugas Fontenot, MA
• Megan Fontenot, FNP

• Family Nurse Practitioner in Carencro, LA
• Providers in Carencro, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.