La Petite Pediatric Clinic

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

LA PETITE PEDIATRIC CLINIC

Practice address

200 Beaullieu Dr Ste 7
Lafayette, LA 70508-7230

Phone

(337) 366-8616

Fax

(337) 366-8133

NPI assigned

Sep 19, 2019

Last updated

Apr 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Geneva Marie Guidry Lejeune, MDNPI 1578854196

Title

Owner

Phone

(337) 366-8616

Specialties & licenses 1

Addresses

Other identifiers 2

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

CLIA laboratory certificates

Locations

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.

• Geneva Marie Guidry Lejeune, MD

  • Pediatrics Physician
  • Lafayette, LA
  • NPI 1578854196
  NPD Authorized official
• Cathy O'Neal Riggio, APRN, FNP

  • Family Nurse Practitioner
  • Hammond, LA
  • NPI 1033523881
  NPD (past)
• Colleen C Sicard, MD

  • Pediatrics Physician
  • Lafayette, LA
  • NPI 1023300332
  NPD (past)

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1346890423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BEAULLIEU DR STE 7",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087230",
            "telephone_number": "337-366-8616",
            "fax_number": "337-366-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BEAULLIEU DR STE 7",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087230",
            "telephone_number": "337-366-8616",
            "fax_number": "337-366-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PETITE PEDIATRIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "LEJEUNE",
        "authorized_official_first_name": "GENEVA",
        "authorized_official_middle_name": "MARIE GUIDRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-366-8616",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2116436",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2149270",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lab Life Diagnostics, LLC
• Nicholas Labarbera
• Laboratory Corporation of America
• Laboratory Corporation of America
• Laborde Diagnostics, Inc.

• Pediatrics Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.