NPIMap

Organization Active NPI

Iota Family Healthcare, LLC

  • Rural Health Clinic/Center
  • Iota, LA
National Provider Identifier
1326326950
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
IOTA FAMILY HEALTHCARE, LLC
Practice address
119 South 5TH Street
Iota, LA 70543
Phone
(337) 275-6915
NPI assigned
Aug 1, 2011
Last updated
Mar 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Authorized official

Name
Nicole Herbert Doucet, WHNP/FNPNPI 1174520035
Title
Owner
Phone
(337) 275-6915

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

119 South 5TH Street
Iota, LA 70543

Mailing address

119 S 5TH St
Iota, LA 70543-6105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120430000638 LA Part B Supplier - Clinic/Group Practice 1052573599 Receives reassigned benefits from 3 practitioners
Practice locations: Iota, LA
O20130620000007 LA Part A Provider - Rural Health Clinic 1052573599 Practice locations: Iota, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326326950. Details of each certification follow.

Rural health clinic certification: CCN 193911

Legal name
IOTA FAMILY HEALTHCARE, LLC
Doing business as
IOTA FAMILY HEALTHCARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Feb 14, 2014
Last certification
Feb 14, 2026
Ownership / control type
1B
Organization structure
LLCProprietary
Incorporated
Feb 6, 2012 in LA
Enrollment address
119 S Fifth Street
Iota, LA 70543-6044

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2034031Iota Family Healthcare, LLC119 South 5TH Street, Iota, LA 70543Provider-performed microscopyDec 13, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Iota Family Healthcare, LLC Organization, Iota, LA LLC 5% Or Greater Direct Ownership Interest Feb 16, 2012 100%
Operational/Managerial Control Feb 16, 2012 100%
Nicole H Doucet Individual 5% Or Greater Direct Ownership Interest Feb 1, 2012 100%
Corporate OfficerChief Executive Officer Feb 1, 2012 100%
W-2 Managing EmployeeChief Executive Officer Feb 1, 2012 100%
Operational/Managerial Control Feb 16, 2012

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Nicole H Doucet, NP
    • Family Nurse Practitioner
    • Iota, LA
    • NPI 1174520035

    5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1326326950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S 5TH ST",
            "city": "IOTA",
            "state": "LA",
            "postal_code": "705436105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 SOUTH 5TH STREET",
            "city": "IOTA",
            "state": "LA",
            "postal_code": "70543",
            "telephone_number": "337-275-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOTA FAMILY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-01",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "DOUCET",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "HERBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-275-6915",
        "authorized_official_credential": "WHNP/FNP"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iota, LA

Sources for this page

Verify at the official NPI Registry.