Organization Active NPI

Elizabeth Le,DPM,LLC

  • Durable Medical Equipment & Medical Supplies
  • Denham Springs, LA
National Provider Identifier
1225422264
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
PD173R Issued in LA
Legal business name
ELIZABETH LE,DPM,LLC
Practice address
1524 S Range Ave
Denham Springs, LA 70726-5218
Phone
(225) 667-6497
Fax
(225) 791-3899
NPI assigned
Mar 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Authorized official

Name
Elizabeth Le, DPMNPI 1154407369
Title
Podiatrist/Owner
Phone
(225) 667-6497

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
Durable Medical Equipment & Medical Supplies 332B00000X PD173R LA Primary
Prosthetic/Orthotic Supplier 335E00000X PD173R LA

Addresses

Primary practice location

1524 S Range Ave
Denham Springs, LA 70726-5218

Mailing address

1524 S Range Ave
Denham Springs, LA 70726-5218
Phone (225) 667-6497

Other identifiers 1

IdentifierTypeStateIssuer
1246390002OtherLAPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150817002441 LA DME Supplier - Physician - Podiatry 6204018740 Practice locations: Denham Springs, LA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Elizabeth Le DPM2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

13888 Plank Rd
#A
Baker, LA 70714
Phone (225) 775-8899

14635 S Harrells Ferry Rd
Ste 2A
Baton Rouge, LA 70816
Phone (225) 753-4994

2409 S Burnside Ave
#B
Gonzales, LA 70737
Phone (225) 647-6654

Practitioners & affiliated clinicians

Practitioners 1

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": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1225422264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 S RANGE AVE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707265218",
            "telephone_number": "225-667-6497",
            "fax_number": "225-791-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 S RANGE AVE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707265218",
            "telephone_number": "225-667-6497",
            "fax_number": "225-791-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH LE,DPM,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "225-667-6497",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "PD173R",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "LA",
            "license": "PD173R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "1246390002",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.