Individual provider Active NPI

Mona R. Fruge, RN

  • Community Health Registered Nurse
  • Lafayette, LA
National Provider Identifier
1467714394
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
RN030652 Issued in LA
Practice address
825 Kaliste Saloom Rd
BLD III Suite 100
Lafayette, LA 70508-4284
Phone
(337) 262-1935
Fax
(337) 262-5237
NPI assigned
Jun 15, 2012
Last updated
Jun 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN030652 LA Primary

Addresses

Primary practice location

825 Kaliste Saloom Rd
BLD III Suite 100
Lafayette, LA 70508-4284

Mailing address

207 Greenspoint CMNS
Lafayette, LA 70508-8009
Phone (337) 262-1935

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN030652LAMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1467714394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 GREENSPOINT CMNS",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088009",
            "telephone_number": "337-262-1935",
            "fax_number": "337-262-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 KALISTE SALOOM RD",
            "address_2": "BLD III SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084284",
            "telephone_number": "337-262-1935",
            "fax_number": "337-262-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUGE",
        "first_name": "MONA",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "LA",
            "license": "RN030652",
            "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 Jun 15, 2012; 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.