Active NPI
Yasser M Nakhlawi, M.D.
- Pediatric Adolescent Medicine Physician
- Alexandria, LA
National Provider Identifier
1124134853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- L#13453R
- Practice address
- 3311 Prescott Rd
Suite 210
Alexandria, LA 71301-3900 - Phone
- (318) 487-1477
- Fax
- (318) 442-5814
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | L#13453R | LA | Primary |
Addresses
Primary practice location
3311 Prescott Rd
Suite 210
Alexandria, LA 71301-3900
Mailing address
3311 Prescott Rd
Suite 210
Alexandria, LA 71301-3900
Phone (318) 487-1477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56790 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L#13453R | LA | MD | Pediatric Adolescent Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234396800000",
"number": "1124134853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3311 PRESCOTT RD",
"address_2": "SUITE 210",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013900",
"telephone_number": "318-487-1477",
"fax_number": "318-442-5814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3311 PRESCOTT RD",
"address_2": "SUITE 210",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013900",
"telephone_number": "318-487-1477",
"fax_number": "318-442-5814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKHLAWI",
"first_name": "YASSER",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2009-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "LA",
"license": "L#13453R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "56790",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.