NPIMap

Organization Active NPI

Growing Up Children's Clinic LLC

  • Independent Medical Examiner Physician
  • Gretna, LA
National Provider Identifier
1417118175
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner PhysicianTaxonomy code 202C00000X
License
023017 Issued in LA
Legal business name
GROWING UP CHILDREN'S CLINIC LLC
Practice address
145 Lapalco Blvd
Suite B
Gretna, LA 70056-7149
Phone
(504) 392-2580
Fax
(504) 392-2527
NPI assigned
Jun 24, 2008
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Mrs. Daphne Ann Collins
Title
Office Manager
Phone
(504) 392-2580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner Physician 202C00000X 023017 LA Primary

Addresses

Primary practice location

145 Lapalco Blvd
Suite B
Gretna, LA 70056-7149

Mailing address

145 Lapalco Blvd
Suite B
Gretna, LA 70056-7149
Phone (504) 392-2580

National Provider Directory

National Provider Directory

Locations

145 Lapalco Blvd
Ste B
Gretna, LA 70056
Phone (504) 392-2580

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1417118175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 LAPALCO BLVD",
            "address_2": "SUITE B",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567149",
            "telephone_number": "504-392-2580",
            "fax_number": "504-392-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 LAPALCO BLVD",
            "address_2": "SUITE B",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567149",
            "telephone_number": "504-392-2580",
            "fax_number": "504-392-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING UP CHILDREN'S CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "DAPHNE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "504-392-2580",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "LA",
            "license": "023017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.