Organization Active NPI

Acadiana Allergy, Asthma and Immunology Center, LLC

  • Medical Specialty Clinic/Center
  • Lafayette, LA
National Provider Identifier
1508227604
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MD201624 Issued in LA
Legal business name
ACADIANA ALLERGY, ASTHMA AND IMMUNOLOGY CENTER, LLC
Practice address
300 Rue Beauregard Ste F
Lafayette, LA 70508
Phone
(337) 484-1414
Fax
(337) 233-3188
NPI assigned
Mar 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Authorized official

Name
Dr. Erin Trahan Pratt, MDNPI 1124297627
Title
MD/Owner
Phone
(337) 484-1414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X MD201624 LA Primary

Addresses

Primary practice location

300 Rue Beauregard Ste F
Lafayette, LA 70508

Mailing address

300 Rue Beauregard Ste F
Lafayette, LA 70508-8511
Phone (337) 484-1414

Other identifiers 1

IdentifierTypeStateIssuer
1124297627MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160330000073 LA Part B Supplier - Clinic/Group Practice 7416254867 Receives reassigned benefits from 2 practitioners
Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory

Locations

101 Rue Fontaine
Bldg 2
Lafayette, LA 70508
Phone (337) 484-1414

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1508227604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 RUE BEAUREGARD STE F",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088511",
            "telephone_number": "337-484-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RUE BEAUREGARD STE F",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-484-1414",
            "fax_number": "337-233-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIANA ALLERGY, ASTHMA AND IMMUNOLOGY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "TRAHAN",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "337-484-1414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "LA",
            "license": "MD201624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124297627",
            "state": "LA"
        }
    ],
    "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 Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.