NPIMap

Organization Active NPI

Zydeco Healthcare LLC

  • Family Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1083223457
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ZYDECO HEALTHCARE LLC
Practice address
301 Winkler Way
Monroe, LA 71203-6530
Phone
(318) 538-1393
NPI assigned
Jul 30, 2020
Last updated
Jul 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Authorized official

Name
Mrs. Lacresha Earley, APRN-FNPNPI 1346867785
Title
Co-Owner
Phone
(318) 538-1393

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

301 Winkler Way
Monroe, LA 71203-6530

Mailing address

301 Winkler Way
Monroe, LA 71203-6530
Phone (318) 884-5952

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1083223457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 WINKLER WAY",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712036530",
            "telephone_number": "318-884-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WINKLER WAY",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712036530",
            "telephone_number": "318-538-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZYDECO HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "EARLEY",
        "authorized_official_first_name": "LACRESHA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "318-538-1393",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN-FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.