Individual provider Active NPI

Frederick Sonnier, PA

  • Physician Assistant
  • Lafayette, LA
National Provider Identifier
1366460966
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.A10416.RX Issued in LA
Practice address
108 Rue Louis Xiv
Lafayette, LA 70508
Phone
(337) 235-8007
Fax
(337) 235-8008
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.A10416.RX LA Primary

Addresses

Primary practice location

108 Rue Louis Xiv
Lafayette, LA 70508

Mailing address

108 Rue Louis Xiv
Lafayette, LA 70508
Phone (337) 235-8007

Other identifiers 1

IdentifierTypeStateIssuer
1348066MedicaidLA

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
I20060206000160 LA Practitioner - Physician Assistant 8224072129 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.A10416.RXLAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Convenient Care LLC CurrentSince Sep 3, 2014 Accepting new patients
Convenient Care LLC CurrentSince Sep 3, 2014 Accepting new patients
Lourdes After Hours LLC CurrentSince May 3, 2012 Accepting new patients
Medxcel Letriomphe, L.L.C. Past Accepting new patients
Louisiana Emergency Physicians, LLC Past Accepting new patients

Locations

3333 Drusilla Ln
Ste B
Baton Rouge, LA 70809
Phone (225) 924-3906

2380 Oneal Ln
Ste A
Baton Rouge, LA 70816
Phone (225) 214-3714

12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857

10319 Jefferson Hwy
Baton Rouge, LA 70809
Phone (224) 214-9352

11055 Shoe Creek Dr
Baton Rouge, LA 70818
Phone (225) 261-4493

3824 NE Evangeline Thruway
Carencro, LA 70520
Phone (337) 565-2675

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1366460966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 RUE LOUIS XIV",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-235-8007",
            "fax_number": "337-235-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 RUE LOUIS XIV",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-235-8007",
            "fax_number": "337-235-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONNIER",
        "first_name": "FREDERICK",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.A10416.RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1348066",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.