NPIMap

Organization Active NPI

Oph-Region 5-Nurse Family Partnership

  • Case Management Agency
  • Lake Charles, LA
National Provider Identifier
1164584017
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
CM 9915 Issued in LA
Legal business name
OPH-REGION 5-NURSE FAMILY PARTNERSHIP
Practice address
707A E Prien Lake Rd
Lake Charles, LA 70601-8613
Phone
(337) 475-3217
Fax
(337) 475-3222
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Debra Woods, BSN, RN
Title
NFP Supervisor-PHN-5
Phone
(337) 475-3217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X CM 9915 LA Primary

Addresses

Primary practice location

707A E Prien Lake Rd
Lake Charles, LA 70601-8613

Mailing address

707A E Prien Lake Rd
Lake Charles, LA 70601-8613
Phone (337) 475-3217

Other identifiers 1

IdentifierTypeStateIssuer
1567132MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Family Road of Greater Baton Rouge-Nurse Family Partnership24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Locations

707 E Prien Lake Rd
Ste A
Lake Charles, LA 70601
Phone (337) 475-3200

Practitioners & affiliated clinicians

Practitioners 2

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": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164584017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707A E PRIEN LAKE RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018613",
            "telephone_number": "337-475-3217",
            "fax_number": "337-475-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707A E PRIEN LAKE RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018613",
            "telephone_number": "337-475-3217",
            "fax_number": "337-475-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPH-REGION 5-NURSE FAMILY PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "NFP SUPERVISOR-PHN-5",
        "authorized_official_telephone_number": "337-475-3217",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "LA",
            "license": "CM 9915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1567132",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.