Praise Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

37592 Issued in AZ

Legal business name

PRAISE PEDIATRICS LLC

Practice address

84 Acoma Blvd N
Suite 104
Lake Havasu City, AZ 86403-6096

Phone

(928) 855-0520

Fax

(928) 855-0537

NPI assigned

Oct 17, 2007

Last updated

Oct 17, 2007By 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

Dr. Monette Pierre-Louis, M.D.

Title

Owner

Phone

(928) 855-0520

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1386833119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3502",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864053502",
            "telephone_number": "928-855-0520",
            "fax_number": "928-855-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 ACOMA BLVD N",
            "address_2": "SUITE 104",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036096",
            "telephone_number": "928-855-0520",
            "fax_number": "928-855-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAISE PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "PIERRE-LOUIS",
        "authorized_official_first_name": "MONETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-855-0520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "37592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LLC REGISTRATION #",
            "identifier": "L13964732",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Renae Powell, FNP
• Karen Ann Powell, P T
• Mark H Powell, MSN, RN
• Tanya Powell, MA, LPC
• Powers Family Practice PC
• Adrienne A Prater
• Michael Edward Prater, M.D.
• Rajitha L Premaratne, M.D.
• Prescott Vamc
• Edward Jonathan Presser, PT, DPT

• Pediatrics Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.