Active NPI
Acute Care Clinic
- Community Health Nurse Practitioner
- Thibodaux, LA
National Provider Identifier
1144495334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Nurse Practitioner
- License
- MD06503R
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- New Orleans, LA
- NPI 1932116688
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.