Organization Active NPI

Stella Maris Health LLC

  • Primary Care Clinic/Center
  • Lafayette, LA
National Provider Identifier
1275901746
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
STELLA MARIS HEALTH LLC
Practice address
1231 Coolidge Blvd
Lafayette, LA 70503-2620
Phone
(337) 210-1614
NPI assigned
Sep 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Jana Beth Gautreaux, APRN, ANP
Title
Owner
Phone
(225) 333-9559

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X

Addresses

Primary practice location

1231 Coolidge Blvd
Lafayette, LA 70503-2620

Mailing address

101 Jackson St
Franklin, LA 70538-5430
Phone (225) 333-9559

Other practice location 1

101 Jackson St
Franklin, LA 70538-5430
Phone (225) 333-9559

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1275901746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 JACKSON ST",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705385430",
            "telephone_number": "225-333-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 COOLIDGE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032620",
            "telephone_number": "337-210-1614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "LA",
            "postal_code": "705385430",
            "country_code": "US",
            "telephone_number": "225-333-9559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STELLA MARIS HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GAUTREAUX",
        "authorized_official_first_name": "JANA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-333-9559",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN, ANP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.