Patient Centered Diagnostics LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PATIENT CENTERED DIAGNOSTICS LLC

Practice address

1425 Lynn St Ste a
Thibodaux, LA 70301-4416

Phone

(985) 227-9771

Fax

(985) 227-9764

NPI assigned

Feb 10, 2022

Last updated

Feb 25, 2022By 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

Jontell Marie JohnsonNPI 1215577713

Title

Owner

Phone

(985) 713-2270

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

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.

• Jontell Marie Johnson

  • Peer Specialist
  • Baton Rouge, LA
  • NPI 1215577713
  NPD Authorized official

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1235883943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 LYNN ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014416",
            "telephone_number": "985-227-9707",
            "fax_number": "985-227-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 LYNN ST STE A",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014416",
            "telephone_number": "985-227-9771",
            "fax_number": "985-227-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT CENTERED DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JONTELL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-713-2270"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jjohnson@patientcare4you.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1425 Lynn St Ste A",
            "city": "Thibodaux",
            "state": "LA",
            "country_code": "US",
            "postal_code": "703014416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nancy Marie Parisean, RN
• Brian Jude Parker, M.D.
• Kristin Champine Pasqua, LPC
• Craig S Pate, P.T.
• Sandeep Ambalal Patel, MD
• Patrick C Hagen Ear, Nose, Throat & Sinus Clinic
• Patrick R. Ellender, M.D., L.L.C.
• David Yoshi Patten, M.D.
• Denise Patterson, MS
• Paul L Monier MD LLC

• Health Service Clinic/Center in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Health Service Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.