Organization Active NPI

M.E.C.U,LLC

  • Nurse Practitioner
  • Prairieville, LA
National Provider Identifier
1295086213
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
M.E.C.U,LLC
Practice address
18092 Manning Dr
Prairieville, LA 70769-5626
Phone
(985) 264-2267
Fax
(225) 246-8059
NPI assigned
Oct 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Authorized official

Name
Frank Michael Fudesco
Title
Owner
Phone
(985) 264-2267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

18092 Manning Dr
Prairieville, LA 70769-5626

Mailing address

18092 Manning Dr
Prairieville, LA 70769-5626
Phone (985) 264-2267

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1295086213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18092 MANNING DR",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707695626",
            "telephone_number": "985-264-2267",
            "fax_number": "225-246-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18092 MANNING DR",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707695626",
            "telephone_number": "985-264-2267",
            "fax_number": "225-246-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.E.C.U,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "FUDESCO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-264-2267"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairieville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.