NPIMap

Organization Active NPI

Acadia Family Clinic LLC

Doing business as Acadia Family Clinic RHC

  • Rural Health Clinic/Center
  • Crowley, LA
National Provider Identifier
1174710685
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
133 Issued in LA
Legal business name
ACADIA FAMILY CLINIC LLC
Doing business as
Acadia Family Clinic RHC
Practice address
1325 Wright Ave
Suite E
Crowley, LA 70526-2226
Phone
(337) 788-1081
Fax
(337) 788-1083
NPI assigned
Sep 28, 2007
Last updated
Jan 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Authorized official

Name
Gina L Miller, N.P.NPI 1366473100
Title
Nurse Practioner/Owner
Phone
(337) 788-1081

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 133 LA Primary
Family Nurse Practitioner 363LF0000X 0390699-22 LA

Addresses

Primary practice location

1325 Wright Ave
Suite E
Crowley, LA 70526-2226

Mailing address

1325 Wright Ave
Suite E
Crowley, LA 70526-2226
Phone (337) 788-1081

Other identifiers 1

IdentifierTypeStateIssuer
1037745MedicaidLA

Other names 1

  • ACADIA FAMILY CLINIC RHC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1174710685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 WRIGHT AVE",
            "address_2": "SUITE E",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705262226",
            "telephone_number": "337-788-1081",
            "fax_number": "337-788-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 WRIGHT AVE",
            "address_2": "SUITE E",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705262226",
            "telephone_number": "337-788-1081",
            "fax_number": "337-788-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIA FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "NURSE PRACTIONER/OWNER",
        "authorized_official_telephone_number": "337-788-1081",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "LA",
            "license": "133",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "0390699-22",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1037745",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACADIA FAMILY CLINIC RHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crowley, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.