Organization Active NPI

Rachelle Meaux, MD, a Professional Medical Corporaation

  • Obstetrics & Gynecology Physician
  • Lafayette, LA
National Provider Identifier
1114043759
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
10636R Issued in LA
Legal business name
RACHELLE MEAUX, MD, A PROFESSIONAL MEDICAL CORPORAATION
Practice address
4540 Ambassador Caffery Pkwy
Ste C220
Lafayette, LA 70508-6928
Phone
(337) 216-0000
Fax
(337) 216-0009
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Kelli A Ortego
Title
Office Manager
Phone
(337) 216-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 10636R LA Primary

Addresses

Primary practice location

4540 Ambassador Caffery Pkwy
Ste C220
Lafayette, LA 70508-6928

Mailing address

4540 Ambassador Caffery Pkwy
Ste C220
Lafayette, LA 70508-6928
Phone (337) 216-0000

Other identifiers 1

IdentifierTypeStateIssuer
1492043MedicaidLA

National Provider Directory

National Provider Directory

Locations

4540 Ambassador Caffery Pkwy
Ste C220
Lafayette, LA 70508
Phone (337) 216-0000

Practitioners & affiliated clinicians

Practitioners 1

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": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114043759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 AMBASSADOR CAFFERY PKWY",
            "address_2": "STE C220",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086928",
            "telephone_number": "337-216-0000",
            "fax_number": "337-216-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 AMBASSADOR CAFFERY PKWY",
            "address_2": "STE C220",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086928",
            "telephone_number": "337-216-0000",
            "fax_number": "337-216-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHELLE MEAUX, MD, A PROFESSIONAL MEDICAL CORPORAATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORTEGO",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-216-0000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "10636R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1492043",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.