Active NPI
Sarah Catherine Decareaux, DC
- Chiropractor
- Lake Charles, LA
National Provider Identifier
1376005082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1846
- Practice address
- 4211 Lake Street
Suite 20
Lake Charles, LA 70605 - Phone
- (337) 990-5497
- Fax
- (337) 990-5570
- NPI assigned
- Apr 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1846 | LA | Primary |
Addresses
Primary practice location
4211 Lake Street
Suite 20
Lake Charles, LA 70605
Mailing address
520 W Lagrange St
Lake Charles, LA 70605-1512
Phone (337) 540-2748
Other practice location 1
5656 Nelson Rd Ste D2
Lake Charles, LA 70605-5374
Phone (337) 240-6619
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1846 | LA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full of Grace Therapy LLC | Current | Accepting new patients |
Locations
4211 Lake St
Ste 20
Lake Charles, LA 70605
Phone (337) 270-2424
Organizations & group practices 1
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.
-
- Occupational Therapist
- Lake Charles, LA
- NPI 1720702236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554163200000",
"number": "1376005082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 W LAGRANGE ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706051512",
"telephone_number": "337-540-2748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 LAKE STREET",
"address_2": "SUITE 20",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "70605",
"telephone_number": "337-990-5497",
"fax_number": "337-990-5570"
}
],
"practiceLocations": [
{
"address_1": "5656 Nelson Rd Ste D2",
"address_purpose": "LOCATION",
"city": "Lake Charles",
"state": "LA",
"postal_code": "706055374",
"country_code": "US",
"telephone_number": "337-240-6619",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DECAREAUX",
"first_name": "SARAH",
"middle_name": "CATHERINE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-02",
"last_updated": "2019-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.