Clyde Leland Daigle, MSRN, CPNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP03189 Issued in LA

Practice address

100 N Prater St
Lake Charles, LA 70601-2649

Phone

(337) 439-0886

NPI assigned

Nov 4, 2008

Last updated

Aug 28, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1508010547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PAYNE ST",
            "city": "WELSH",
            "state": "LA",
            "postal_code": "705914345",
            "telephone_number": "337-734-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N PRATER ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706012649",
            "telephone_number": "337-439-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAIGLE",
        "first_name": "CLYDE",
        "middle_name": "LELAND",
        "name_prefix": "Mr.",
        "credential": "MSRN, CPNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-04",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP03189",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN071430",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1532703",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• D N G Company L.L.C. (Wisdoms Own)
• D&M in-Home Care LLC
• Mary Dahlen, APRN
• Brenda Faye Daigle-Murry, APRN
• Ashley Jo Daigle
• Cynthia Coffey Daigle, CCC-SLP
• Hannah Aileen Vidrine Daigle, LOTR
• Jeffrey John Daigle, P.A.
• Kody M. Daigle, NP
• Kyle Anthony Daigle, DC

• Nurse Practitioner in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.