Individual provider Active NPI

Emily Charlie

  • Internal Medicine Physician
  • Lafayette, LA
National Provider Identifier
1295196194
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
307726 Issued in LA
Practice address
155 Hospital Dr Ste 205
Lafayette, LA 70503-2852
Phone
(337) 484-1091
Fax
(337) 484-1092
NPI assigned
Mar 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 307726 LA Primary

Addresses

Primary practice location

155 Hospital Dr Ste 205
Lafayette, LA 70503-2852

Mailing address

155 Hospital Dr Ste 205
Lafayette, LA 70503-2852
Phone (374) 841-0913

Other practice location 1

2390 W Congress St
Lafayette, LA 70506-4205
Phone (337) 261-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190712000467 LA Practitioner - Internal Medicine 0042518516 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hub City Physician Group LLCGroup PAC ID 3173831211, 26 clinicians

Practice addresses (Care Compare)

1310 W 7TH St
Kaplan, LA 70548-2910
Phone (337) 643-8300

Hospital & facility affiliations

  • Abrom Kaplan Memorial Hospital Hospital, Kaplan, LA, CCN 191322
  • Abrom Kaplan Memorial Hospital Nursing home, CCN 19Z322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Hub City Physician Group, LLC CurrentSince Jun 3, 2023 Accepting new patients
Coolidge Physician Services LLC CurrentSince Jun 22, 2022 Accepting new patients
Kaplan General Hospital, Inc. Past Accepting new patients

Locations

1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222

1310 W 7th St
Kaplan, LA 70548
Phone (318) 643-8300

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

Interoperability endpoints

  • Direct secure messaging: ereedcharlie1099116@direct.ochsner.org

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1458345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1295196194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL DR STE 205",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032852",
            "telephone_number": "374-841-0913",
            "fax_number": "337-484-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL DR STE 205",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032852",
            "telephone_number": "337-484-1091",
            "fax_number": "337-484-1092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2390 W Congress St",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705064205",
            "country_code": "US",
            "telephone_number": "337-261-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLIE",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-19",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "307726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.