NPIMap

Organization Active NPI

Pro-NP LLC

  • Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1548564644
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
PRO-NP LLC
Practice address
325 Bacque Crescent Dr
Lafayette, LA 70503-2842
Phone
(337) 207-0528
Fax
(337) 205-6211
NPI assigned
Jan 4, 2011
Last updated
Aug 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Mr. Christopher J Manuel, NPNPI 1801110127
Title
NP/Owner
Phone
(337) 322-1245

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

325 Bacque Crescent Dr
Lafayette, LA 70503-2842

Mailing address

PO Box 53084
Lafayette, LA 70505-3084
Phone (337) 207-0528

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110119000365 LA Part B Supplier - Clinic/Group Practice 7517146822 Receives reassigned benefits from 12 practitioners
Practice locations: Opelousas, LA; New Iberia, LA; Maurice, LA; Lockport, LA; Lafayette, LA; Kaplan, LA; Jeanerette, LA; Gueydan, LA…

National Provider Directory

National Provider Directory

Locations

2305 Richard St
Abbeville, LA 70510
Phone (337) 892-9800

240 Arceneaux Rd
Carencro, LA 70520
Phone (337) 896-9227

161 S Beadle Rd
Lafayette, LA 70508
Phone (337) 261-8811

7534 Highway 1
Lockport, LA 70374
Phone (985) 532-1011

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1548564644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53084",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705053084",
            "telephone_number": "337-207-0528",
            "fax_number": "337-205-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 BACQUE CRESCENT DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032842",
            "telephone_number": "337-207-0528",
            "fax_number": "337-205-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-NP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "MANUEL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "NP/OWNER",
        "authorized_official_telephone_number": "337-322-1245",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Aug 13, 2024; 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.