Active NPI
Rachel Courville
- Contractor
- Lafayette, LA
National Provider Identifier
1225459613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 556222
- Practice address
- 509 Camellia Dr
Lafayette, LA 70503-4701 - Phone
- (337) 984-0123
- Fax
- (337) 984-5551
- NPI assigned
- Jan 2, 2014
- Last updated
- Jan 2, 2014
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 556222 | LA | Primary |
Addresses
Primary practice location
509 Camellia Dr
Lafayette, LA 70503-4701
Mailing address
509 Camellia Dr
Lafayette, LA 70503-4701
Phone (337) 984-0123
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 |
|---|---|---|---|
| 556222 | LA | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SRC International LLC | Contractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Contractor
- Lafayette, LA
- NPI 1134440514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388620800000",
"number": "1225459613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 CAMELLIA DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705034701",
"telephone_number": "337-984-0123",
"fax_number": "337-984-5551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 CAMELLIA DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705034701",
"telephone_number": "337-984-0123",
"fax_number": "337-984-5551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COURVILLE",
"first_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-02",
"last_updated": "2014-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "LA",
"license": "556222",
"primary": true
}
],
"identifiers": [],
"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 Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.