Organization Active NPI

On the Boulevard Walk in Clinic

  • Family Medicine Physician
  • Lafayette, LA
National Provider Identifier
1437426384
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ON THE BOULEVARD WALK IN CLINIC
Practice address
119 1/2 Arnould Blvd
Lafayette, LA 70506-6213
Phone
(337) 988-9812
Fax
(337) 988-9894
NPI assigned
Nov 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Authorized official

Name
Kala Duhon
Title
Billing Manager
Phone
(337) 988-9812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

119 1/2 Arnould Blvd
Lafayette, LA 70506-6213

Mailing address

119 1/2 Arnould Blvd
Lafayette, LA 70506-6213
Phone (337) 988-9812

National Provider Directory

National Provider Directory

Locations

119 Arnould Blvd
Lafayette, LA 70506
Phone (337) 769-1281

NPI Registry JSON

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1437426384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 1/2 ARNOULD BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066213",
            "telephone_number": "337-988-9812",
            "fax_number": "337-988-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 1/2 ARNOULD BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066213",
            "telephone_number": "337-988-9812",
            "fax_number": "337-988-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON THE BOULEVARD WALK IN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "DUHON",
        "authorized_official_first_name": "KALA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "337-988-9812"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.