Organization Active NPI

Renal Associates of Northeast Louisiana Apmc

  • Nephrology Physician
  • West Monroe, LA
National Provider Identifier
1154319762
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
RENAL ASSOCIATES OF NORTHEAST LOUISIANA APMC
Doing business as
Renal Associates of Northeast Louisiana, APMC
Practice address
401 Thomas Rd Ste 1
West Monroe, LA 71292-7903
Phone
(318) 325-5435
Fax
(318) 325-5495
NPI assigned
Oct 7, 2005
Last updated
Dec 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Authorized official

Name
Nelson Yount, MDNPI 1891781522
Title
Physician Owner
Phone
(318) 325-5435

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

401 Thomas Rd Ste 1
West Monroe, LA 71292-7903

Mailing address

401 Thomas Rd Ste 1
West Monroe, LA 71292-7903
Phone (318) 325-5435

Other identifiers 2

IdentifierTypeStateIssuer
H25015OtherVANTAGE
1947997MedicaidLA

Other names 1

  • Renal Associates of Northeast Louisiana, APMC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100305000107 LA Part B Supplier - Clinic/Group Practice 8921143694 Receives reassigned benefits from 4 practitioners
Practice locations: West Monroe, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1154319762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 THOMAS RD STE 1",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712927903",
            "telephone_number": "318-325-5435",
            "fax_number": "318-325-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 THOMAS RD STE 1",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712927903",
            "telephone_number": "318-325-5435",
            "fax_number": "318-325-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL ASSOCIATES OF NORTHEAST LOUISIANA APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "YOUNT",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "318-325-5435",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VANTAGE",
            "identifier": "H25015",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1947997",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renal Associates of Northeast Louisiana, APMC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.