Active NPI
Juliana Marie Carriere-Marcantel, AU.D
- Audiologist
- Lake Charles, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 7239
- Practice address
- 555 Dr Michael Debakey Dr
Ste 104
Lake Charles, LA 70601-5700 - Phone
- (337) 439-3051
- NPI assigned
- Sep 2, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 80805 | TX | |
| Audiologist | 231H00000X | 7239 | LA | Primary |
Addresses
Primary practice location
555 Dr Michael Debakey Dr
Ste 104
Lake Charles, LA 70601-5700
Mailing address
555 Dr Michael Debakey Dr
Ste 104
Lake Charles, LA 70601-5700
Phone (409) 212-8111
Other practice location 1
2626 Country Club Rd
Lake Charles, LA 70605-5912
Phone (337) 240-6600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2459571 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171110002746 | LA | Practitioner - Qualified Audiologist | 8224346424 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Louisiana State University School of Medicine in New Orleans, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Imperial Health LLP
Practice addresses (Care Compare)
1615 Wolf Circle
Lake Charles, LA 70605-2348
Phone (337) 312-8564
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7239 | LA | MD | Dentist |
| 80805 | TX | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imperial Health LLP | Current | Accepting new patients | |
| Imperial Health, LLP | Current | Accepting new patients | |
| Sorrells Audiology LLC | Current | Accepting new patients | |
| Lake Charles Hearing AIDS LLC | Current | Accepting new patients |
Locations
555 Dr Michael Debakey Dr
Ste 104
Lake Charles, LA 70601
Phone (318) 436-3277
501 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 312-8258
2626 Country Club Rd
Lake Charles, LA 70605
Phone (337) 240-6600
1615 Wolf Cir
Lake Charles, LA 70605
Phone (337) 312-4355
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1740982115
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- Urgent Care Clinic/Center
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- NPI 1932381811
-
- Ambulatory Surgical Clinic/Center
- Lake Charles, LA
- NPI 1922178169
-
- Hearing Aid Equipment
- Lake Charles, LA
- NPI 1669007381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661990400000",
"number": "1265800650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 DR MICHAEL DEBAKEY DR",
"address_2": "STE 104",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706015700",
"telephone_number": "409-212-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 DR MICHAEL DEBAKEY DR",
"address_2": "STE 104",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706015700",
"telephone_number": "337-439-3051"
}
],
"practiceLocations": [
{
"address_1": "2626 Country Club Rd",
"address_purpose": "LOCATION",
"city": "Lake Charles",
"state": "LA",
"postal_code": "706055912",
"country_code": "US",
"telephone_number": "337-240-6600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARRIERE-MARCANTEL",
"first_name": "JULIANA",
"middle_name": "MARIE",
"credential": "AU.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-02",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "80805",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "LA",
"license": "7239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2459571",
"state": "LA"
}
],
"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 Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.