Individual provider Active NPI

Rachel Whitstine Lacroix

  • Family Nurse Practitioner
  • New Iberia, LA
National Provider Identifier
1336793207
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
207501 Issued in LA
Practice address
1050 E Admiral Doyle Dr
New Iberia, LA 70560-6711
Phone
(337) 376-0515
NPI assigned
Jul 30, 2019
Last updated
Dec 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 207501 LA Primary

Addresses

Primary practice location

1050 E Admiral Doyle Dr
New Iberia, LA 70560-6711

Mailing address

129 Pebble Beach Dr
Youngsville, LA 70592-5208
Phone (337) 806-7333

Other practice location 1

901 Hugh Wallis Rd S
Lafayette, LA 70508-2511
Phone (337) 233-1307

Other identifiers 1

IdentifierTypeStateIssuer
2535871MedicaidLA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191022002048 LA Practitioner - Nurse Practitioner 0547592636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clark Integrated Medical Clinics LLCGroup PAC ID 8022372598, 12 clinicians

Practice addresses (Care Compare)

1833 E Main St
New Iberia, LA 70560-4045
Phone (337) 367-7463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
207501LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Integrated Medical Clinics LLC Nurse Practitioner CurrentSince Jul 1, 2025 Accepting new patients
Acadiana Center LLC CurrentSince Aug 10, 2021 Accepting new patients
Louisiana Brain Injury Specialists, LLC CurrentSince Sep 28, 2025 Accepting new patients
Louisiana Physical Therapy Centers of Pineville LLC Past Accepting new patients

Locations

2501 W Pinhook Rd
Lafayette, LA 70508
Phone (337) 264-1000

401 E Verot School Rd
Lafayette, LA 70508
Phone (337) 232-3353

1833 E Main St
New Iberia, LA 70560
Phone (337) 367-7463

1135 Expressway Dr
Ste 100B
Pineville, LA 71360
Phone (318) 487-6525

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1336793207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 PEBBLE BEACH DR",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925208",
            "telephone_number": "337-806-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E ADMIRAL DOYLE DR",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705606711",
            "telephone_number": "337-376-0515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Hugh Wallis Rd S",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705082511",
            "country_code": "US",
            "telephone_number": "337-233-1307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACROIX",
        "first_name": "RACHEL",
        "middle_name": "WHITSTINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "207501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2535871",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

Verify at the official NPI Registry.