NPIMap

Organization Active NPI

Iowa Medical Clinic, LLC

  • Family Medicine Physician
  • Iowa, LA
National Provider Identifier
1205419405
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
IOWA MEDICAL CLINIC, LLC
Practice address
621 E Miller Ave
Iowa, LA 70647-4008
Phone
(337) 302-7955
NPI assigned
May 4, 2021
Last updated
Jul 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Amy Guidry, APRNNPI 1497340343
Title
FNP-BC
Phone
(337) 358-2601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

621 E Miller Ave
Iowa, LA 70647-4008

Mailing address

621 E Miller Ave
Iowa, LA 70647-4008
Phone (337) 302-7955

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": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1205419405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 E MILLER AVE",
            "city": "IOWA",
            "state": "LA",
            "postal_code": "706474008",
            "telephone_number": "337-302-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 E MILLER AVE",
            "city": "IOWA",
            "state": "LA",
            "postal_code": "706474008",
            "telephone_number": "337-302-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "GUIDRY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "FNP-BC",
        "authorized_official_telephone_number": "337-358-2601",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.