Individual provider Active NPI

Lauren Decuir David, BSN, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Lafayette, LA
National Provider Identifier
1124517065
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
11165697 Issued in LA
Practice address
600 Jefferson St Ste 900
Lafayette, LA 70501-8902
Phone
(337) 316-7354
NPI assigned
May 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Women's Health Care Registered Nurse 163WW0101X RN106612 LA
Lactation Consultant (Registered Nurse) 163WL0100X 11165697 LA Primary

Addresses

Primary practice location

600 Jefferson St Ste 900
Lafayette, LA 70501-8902

Mailing address

111 Triple Crown Cir
Carencro, LA 70520-4319

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)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
11165697LAMDLactation Consultant (Registered Nurse)
RN106612LAMDAmbulatory Women's Health Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1124517065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 TRIPLE CROWN CIR",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705204319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 JEFFERSON ST STE 900",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705018902",
            "telephone_number": "337-316-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "LAUREN",
        "middle_name": "DECUIR",
        "name_prefix": "Mrs.",
        "credential": "BSN, RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "LA",
            "license": "RN106612",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "LA",
            "license": "11165697",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 7, 2018; 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.