NPIMap

Organization Active NPI

Rejuvenate Health Chiropractic

  • Chiropractor
  • Lake Charles, LA
National Provider Identifier
1255655239
Registry record updated Mar 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1556 Issued in LA
Legal business name
REJUVENATE HEALTH CHIROPRACTIC
Practice address
751 Bayou Pines East Dr
Suite R
Lake Charles, LA 70601-7196
Phone
(337) 802-6497
NPI assigned
Mar 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2010

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

Authorized official

Name
Dr. Athena Marie Payne, D.C.
Title
Owner/Chiropractor
Phone
(337) 802-6497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1556 LA Primary

Addresses

Primary practice location

751 Bayou Pines East Dr
Suite R
Lake Charles, LA 70601-7196

Mailing address

1717 E Belt Line Rd
Apt 924
Coppell, TX 75019-4231
Phone (337) 802-6497

National Provider Directory

National Provider Directory

Locations

751 Bayou Pines East Dr
Ste R
Lake Charles, LA 70601
Phone (337) 433-5955

NPI Registry JSON

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

{
    "created_epoch": "1269043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269043200000",
    "number": "1255655239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 E BELT LINE RD",
            "address_2": "APT 924",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194231",
            "telephone_number": "337-802-6497",
            "fax_number": "972-947-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 BAYOU PINES EAST DR",
            "address_2": "SUITE R",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017196",
            "telephone_number": "337-802-6497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATE HEALTH CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-20",
        "last_updated": "2010-03-20",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "ATHENA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "337-802-6497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2010; 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.