Active NPI
Nicole Orgeron
- Athletic Trainer
- Lafayette, LA
National Provider Identifier
1316411374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 225 Cajundome Blvd
Lafayette, LA 70506-4271 - Phone
- (225) 335-3636
- NPI assigned
- Jan 13, 2019
- Last updated
- Jan 13, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
225 Cajundome Blvd
Lafayette, LA 70506-4271
Mailing address
508 Saint Patrick St
Lafayette, LA 70506-4418
Phone (225) 335-3636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7770002795020602 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547337600000",
"number": "1316411374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 SAINT PATRICK ST",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705064418",
"telephone_number": "225-335-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 CAJUNDOME BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705064271",
"telephone_number": "225-335-3636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORGERON",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-13",
"last_updated": "2019-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7770002795020602",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
- Optimal Health Chiropractic, LLC
- Joni L Orazio, MD
- Holly Ann Estopinal Orellana, M.S., LPC
- Josephine Rita Orgah
- Joseph Edward Orgeron, MD
- Kelly J Ortego, PT
- Woody Lee Ortego
- Orthopaedic Reconstructive Sub-Specialists, LLC
- Orthopedic & Sports Physical Therapy Clinic of Lafayette Inc
- Patricia Ann Osborne, BCPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.