Individual provider Active NPI

David Paul Wyman, LAC

  • Case Manager/Care Coordinator
  • Lafayette, LA
National Provider Identifier
1487890448
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
100 Asma Blvd
Lafayette, LA 70508-3858
Phone
(337) 456-7880
NPI assigned
Dec 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 588 LA
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

100 Asma Blvd
Lafayette, LA 70508-3858

Mailing address

211 Woodland Cir
New Iberia, LA 70563-2912
Phone (337) 322-6899

Other practice location 1

2600 Johnston St
Suite 110
Lafayette, LA 70503-3269
Phone (337) 266-5155 ext. 3011

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

State licenses

LicenseStateTypeSpecialty
588LAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Townsend Recovery Addiction (Substance Use Disorder) Past Accepting new patients
Townsend Recovery, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1487890448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 WOODLAND CIR",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632912",
            "telephone_number": "337-322-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ASMA BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083858",
            "telephone_number": "337-456-7880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Johnston St",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705033269",
            "country_code": "US",
            "telephone_number": "337-266-5155 x3011",
            "fax_number": "337-266-5157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYMAN",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-22",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "588",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "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 Dec 4, 2018; 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.