Active NPI
Michelle Montet Gary
- Licensed Practical Nurse
- Lafayette, LA
National Provider Identifier
1174015689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 900781
- Practice address
- 302 Dulles Dr
Lafayette, LA 70506-3008 - Phone
- (337) 262-4100
- Fax
- (337) 262-4160
- NPI assigned
- May 31, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 900781 | LA | Primary |
Addresses
Primary practice location
302 Dulles Dr
Lafayette, LA 70506-3008
Mailing address
302 Dulles Dr
Lafayette, LA 70506-3008
Phone (337) 262-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 337045 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 900781 | LA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1174015689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 DULLES DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705063008",
"telephone_number": "337-262-4100",
"fax_number": "337-262-4160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 DULLES DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705063008",
"telephone_number": "337-262-4100",
"fax_number": "337-262-4160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARY",
"first_name": "MICHELLE",
"middle_name": "MONTET",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-31",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "LA",
"license": "900781",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "337045",
"state": "LA"
}
],
"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 Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.