Individual provider Active NPI

Juliana Marie Carriere-Marcantel, AU.D

  • Audiologist
  • Lake Charles, LA
National Provider Identifier
1265800650
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
7239 Issued in LA
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

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2459571MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLPGroup PAC ID 7719886779, 75 clinicians

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

LicenseStateTypeSpecialty
7239LAMDDentist
80805TXMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Health LLP CurrentSince Sep 23, 2024 Accepting new patients
Imperial Health, LLP CurrentSince Sep 23, 2024 Accepting new patients
Sorrells Audiology LLC CurrentSince Nov 6, 2017 Accepting new patients
Lake Charles Hearing AIDS LLC CurrentSince Mar 9, 2020 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.

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.

Verify at the official NPI Registry.