Organization Active NPI

Reddy Family Medical Clinic LLC

  • Family Medicine Physician
  • Napoleonville, LA
National Provider Identifier
1356665582
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05775R Issued in LA
Legal business name
REDDY FAMILY MEDICAL CLINIC LLC
Practice address
154 Highway 1008
Napoleonville, LA 70390-2009
Phone
(985) 369-1880
Fax
(985) 369-9191
NPI assigned
Mar 17, 2010
Last updated
Mar 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Authorized official

Name
Dr. Nagaartna Reddy, M.D
Title
Physician
Phone
(225) 545-3631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05775R LA Primary

Addresses

Primary practice location

154 Highway 1008
Napoleonville, LA 70390-2009

Mailing address

217 Railroad Ave
Donaldsonville, LA 70346-2527
Phone (225) 473-3931

Other identifiers 2

IdentifierTypeStateIssuer
1445118MedicaidLA
5F973OtherLAMEDICARE PART B

National Provider Directory

National Provider Directory
Tax ID family
Reddy Family Medical Clinic LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1356665582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 RAILROAD AVE",
            "city": "DONALDSONVILLE",
            "state": "LA",
            "postal_code": "703462527",
            "telephone_number": "225-473-3931",
            "fax_number": "225-473-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 HIGHWAY 1008",
            "city": "NAPOLEONVILLE",
            "state": "LA",
            "postal_code": "703902009",
            "telephone_number": "985-369-1880",
            "fax_number": "985-369-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDY FAMILY MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "NAGAARTNA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "225-545-3631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "05775R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1445118",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "5F973",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Napoleonville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.