Children & Adolescent Clinic

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

MD.05415R Issued in LA

Legal business name

CHILDREN & ADOLESCENT CLINIC

Practice address

801 N Montgomery Ave
Kaplan, LA 70548-2007

Phone

(337) 643-8400

Fax

(337) 643-1544

NPI assigned

May 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Padmini Gupta, M.D.

Title

Medical Director

Phone

(337) 643-8400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Prashant Gupta, M.D.

  • General Practice Physician
  • Kaplan, LA
  • NPI 1295915395
  NPD (past)
• Renee Claire Sons, FNP-C

  • Family Nurse Practitioner
  • Kaplan, LA
  • NPI 1548783400
  NPD (past)

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1235397159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N MONTGOMERY AVE",
            "city": "KAPLAN",
            "state": "LA",
            "postal_code": "705482007",
            "telephone_number": "337-643-8400",
            "fax_number": "337-643-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N MONTGOMERY AVE",
            "city": "KAPLAN",
            "state": "LA",
            "postal_code": "705482007",
            "telephone_number": "337-643-8400",
            "fax_number": "337-643-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN & ADOLESCENT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "PADMINI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "337-643-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "LA",
            "license": "MD.05415R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316989",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Blanchard, LPN
• Lanie Renee Boullion
• Tammany Boutte, RT(R)
• Calcasieu Urgent Care LLC
• Carl J Richard, M.D.
• Chiropractic Pain Management & Injury Clinic
• Compass Behavioral Center LLC
• Ai Hau Sandra Dang, MSN, APRN, FNP-C
• Ka'Ryn Nicole Franklin, NP
• Kyrsten Adair Freyou, AGNP-C

• All providers in Kaplan, LA
• Health Service Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.