Individual provider Active NPI

Ladaja Rayaun Allen

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1114650462
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA20195 Issued in TX
Practice address
6621 Fannin St
Houston, TX 77030-2399
Phone
(832) 824-1000
NPI assigned
Jul 5, 2022
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA20195 TX Primary

Addresses

Primary practice location

6621 Fannin St
Houston, TX 77030-2399

Mailing address

6621 Fannin St
Houston, TX 77030-2399
Phone (832) 824-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250127000995 LA Practitioner - Physician Assistant 5294264842 Reassigns benefits to 1 organization
I20260414004210 TX Practitioner - Physician Assistant 5294264842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1102 Bates Ave
Houston, TX 77030-2698

PO Box
Dallas, TX 75284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA20195TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Group of Acadiana, LLC CurrentSince Nov 16, 2024 Accepting new patients
Pediatric Group of Acadiana LLC CurrentSince Nov 16, 2024 Accepting new patients
Louisiana Heart Clinic,Inc PastSince May 1, 2009 Accepting new patients
Pediatric Group of Acadiana, LLC Past Accepting new patients

Locations

550 W Veterans Memorial Dr
Erath, LA 70533
Phone (337) 918-6341

818 E Veterans Meml Dr
Kaplan, LA 70548
Phone (337) 852-6139

401 Youngsville Hwy
Ste 100
Lafayette, LA 70508
Phone (337) 330-0031

431 E Evergreen St
Lafayette, LA 70501
Phone (337) 806-9910

2308 E Main St
Ste G
New Iberia, LA 70560
Phone (337) 367-2001

302 Hacker St
New Iberia, LA 70560

520 N Lewis St
Ste 202
New Iberia, LA 70563
Phone (337) 367-2001

120 N Carolina St
New Roads, LA 70760
Phone (225) 638-8449

1119 N Main St
St Martinvlle, LA 70582
Phone (337) 394-7774

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1114650462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302399",
            "telephone_number": "832-824-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302399",
            "telephone_number": "832-824-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "LADAJA",
        "middle_name": "RAYAUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA20195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.