Active NPI
Andrea St. Clair, DO
- Psychiatry Physician
- Lake Charles, LA
National Provider Identifier
1265753255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 5052
- Practice address
- 3601 Gerstner Memorial Drive, Hwy 14
Lake Charles, LA 70607-3231 - Phone
- (337) 475-9500
- NPI assigned
- Jun 14, 2010
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 5052 | OK | Primary |
Addresses
Primary practice location
3601 Gerstner Memorial Drive, Hwy 14
Lake Charles, LA 70607-3231
Mailing address
3601 Gerstner Memorial Drive, Hwy 14
Lake Charles, LA 70607-3231
Phone (337) 475-9500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5052 | OK | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1265753255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 GERSTNER MEMORIAL DRIVE, HWY 14",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706073231",
"telephone_number": "337-475-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 GERSTNER MEMORIAL DRIVE, HWY 14",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706073231",
"telephone_number": "337-475-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST. CLAIR",
"first_name": "ANDREA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-14",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OK",
"license": "5052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
- Steve F Springer, MD
- Sprouts Behavior Development Center
- St Jude Medical Group LLC
- St Nicholas Center for Early Intervention
- St Paul Companion Care LLC
- St. Joseph Hospice of Southwest Louisiana LLC
- St. Luke'S Diagnostic Clinic of Lake Charles, L.L.C.
- St. Nicholas Center for Children
- St. Paul Companion Care, L.L.C.
- Bethany St. Romain, APRN, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.