Organization Active NPI

Arcane Health Care, LLC

  • Primary Care Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1396149092
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
ARCANE HEALTH CARE, LLC
Practice address
2209 N Bolton Ave
Alexandria, LA 71303-4408
Phone
(318) 484-9994
Fax
(318) 473-9993
NPI assigned
Oct 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Authorized official

Name
Paul Gay, PNP
Title
Manager
Phone
(318) 484-9994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

2209 N Bolton Ave
Alexandria, LA 71303-4408

Mailing address

2209 N Bolton Ave
Alexandria, LA 71303-4408
Phone (318) 484-9994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141205000271 LA Part B Supplier - Clinic/Group Practice 4981827284 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, LA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1396149092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 N BOLTON AVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713034408",
            "telephone_number": "318-484-9994",
            "fax_number": "318-473-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 N BOLTON AVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713034408",
            "telephone_number": "318-484-9994",
            "fax_number": "318-473-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCANE HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "318-484-9994",
        "authorized_official_credential": "PNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.