Premier Pediatrics of Acadiana, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD.205011 Issued in LA

Legal business name

PREMIER PEDIATRICS OF ACADIANA, LLC

Practice address

1512 Chemin Metairie Rd
Suite B
Youngsville, LA 70592-5382

Phone

(337) 237-1252

Fax

(985) 635-6948

NPI assigned

Jul 21, 2016

Last updated

Oct 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lauren Gast

Title

Billing Manager

Phone

(985) 635-6943

Specialties & licenses 1

Addresses

Locations

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.

• Catherine Boudreaux Broussard, M.D.

  • Pediatrics Physician
  • Youngsville, LA
  • NPI 1710121702
  NPD (past)
• Farrah R Huval, M.D.

  • Pediatrics Physician
  • Lafayette, LA
  • NPI 1346396074
  NPD (past)
• Adrienne Musumeche

  • Pediatrics Physician
  • Youngsville, LA
  • NPI 1427299411
  NPD (past)
• Jean C Torres, MD

  • Pediatrics Physician
  • Lafayette, LA
  • NPI 1275791253
  NPD (past)

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1215380506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 HOSPITAL DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032819",
            "telephone_number": "337-237-1252",
            "fax_number": "985-635-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 CHEMIN METAIRIE RD",
            "address_2": "SUITE B",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925382",
            "telephone_number": "337-237-1252",
            "fax_number": "985-635-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PEDIATRICS OF ACADIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "GAST",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "985-635-6943"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.205011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Poe
• Devon Pogwizd, LMT
• Alan Ponce, MT
• Katie N Porche, PMHNP-BC
• Virginia Prejean
• Leah Rae Primeaux
• Kenya Prince
• Emily Prudhomme
• Psych Savvy LLC
• Savannah Stevens Puissegur, M.S., CCC-SLP

• Pediatrics Physician in Youngsville, LA
• Providers in Youngsville, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.