Organization Active NPI

Acute Care Clinic

  • Community Health Nurse Practitioner
  • Thibodaux, LA
National Provider Identifier
1144495334
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
License
MD06503R Issued in LA
Legal business name
ACUTE CARE CLINIC
Practice address
205 Hermitage Dr
Thibodaux, LA 70301-2914
Phone
(985) 448-0827
Fax
(985) 448-0822
NPI assigned
Apr 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Mrs. Ayanna A Alverez
Title
Director
Phone
(504) 382-6011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LC1500X MD06503R LA Primary

Addresses

Primary practice location

205 Hermitage Dr
Thibodaux, LA 70301-2914

Mailing address

1208 Canal Blvd
Thibodaux, LA 70301-4511
Phone (985) 448-0827

Other names 1

  • Family Doctors of Louisiana Doing business as

National Provider Directory

National Provider Directory

Locations

1208 Canal Blvd
Thibodaux, LA 70301
Phone (985) 448-0827

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": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1144495334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 CANAL BLVD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014511",
            "telephone_number": "985-448-0827",
            "fax_number": "985-448-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 HERMITAGE DR",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703012914",
            "telephone_number": "985-448-0827",
            "fax_number": "985-448-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUTE CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "ALVEREZ",
        "authorized_official_first_name": "AYANNA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "504-382-6011",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": "LA",
            "license": "MD06503R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Doctors of Louisiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.