Organization Active NPI

Sola Pediatrics

  • Pediatrics Physician
  • Lafayette, LA
National Provider Identifier
1124565296
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SOLA PEDIATRICS
Practice address
200 Liberty Ave
Lafayette, LA 70508
Phone
(337) 989-8080
Fax
(337) 981-0913
NPI assigned
Jan 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Authorized official

Name
Dr. Richard Warren Pratt, M.D.NPI 1558539973
Title
Owner
Phone
(337) 989-8080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X Primary
Pediatric Sports Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080S0010X

Addresses

Primary practice location

200 Liberty Ave
Lafayette, LA 70508

Mailing address

4650 Ambassador Caffery Pkwy Ste 105
Lafayette, LA 70508-6926
Phone (337) 989-8080

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2110762Sola Pediatrics200 Liberty Avenue, Lafayette, LA 70508Certificate of waiverMar 22, 2028

National Provider Directory

National Provider Directory

Locations

200 Liberty Ave
Lafayette, LA 70508
Phone (337) 470-3172

Practitioners & affiliated clinicians

Practitioners 3

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": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1124565296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 AMBASSADOR CAFFERY PKWY STE 105",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086926",
            "telephone_number": "337-989-8080",
            "fax_number": "337-981-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LIBERTY AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-989-8080",
            "fax_number": "337-981-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLA PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-989-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.