Advanced Nursing and Consulting
Organization Active NPI Family Nurse Practitioner · Lafayette, LA
NPI 1093372914 · NPPES record last updated May 27, 2019
Key facts
- NPI
- 1093372914
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- ADVANCED NURSING AND CONSULTING
- Practice address
- 2520 N University Ave
Lafayette, LA 70507-5306 - Phone
- (337) 234-5614
- NPI assigned
- May 27, 2019
- Organization subpart
- No
Authorized official
- Name
- Mrs. Bridget Matrice Waldrup-Simpson, NP-C
- Title
- Sole Member
- Phone
- (337) 852-6921
Practitioners 1
-
Bridget Matrice Waldrup-Simpson, FNP-C, PMHNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190617001022 | LA | Part B Supplier - Clinic/Group Practice | 3072846575 |
Receives reassigned benefits from 1 practitioner Practice locations: Lafayette, LA |
National Provider Directory
Locations
4906 Ambassador Caffery Pkwy
Bldg I
Lafayette, LA 70508
Phone (337) 456-5573
4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
2520 N University Ave
Lafayette, LA 70507-5306
Mailing address
PO Box 5302
Lafayette, LA 70502-5302
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All providers in Lafayette, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.