Lafouche Parish School Board

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

Legal business name

LAFOUCHE PARISH SCHOOL BOARD

Practice address

1355 Tiger Dr
Thibodaux, LA 70301-4236

Phone

(985) 859-5359

NPI assigned

Mar 1, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Jerry Dale Blackwell Jr., LAT

Title

Head Athletic Trainer

Phone

(985) 859-5359

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1578003265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 TIGER DR",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014236",
            "telephone_number": "985-859-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 TIGER DR",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014236",
            "telephone_number": "985-859-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFOUCHE PARISH SCHOOL BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "HEAD ATHLETIC TRAINER",
        "authorized_official_telephone_number": "985-859-5359",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LAT"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Kramarz
• Krilo Enterprises, LLC
• Labadieville Community Home
• Lacey Giambelluca MD, LLC
• Kayla Ladner, MS
• Lafourche Arc
• Lafourche Arc
• Lafourche Arc
• Lafourche Arc
• Lafourche Arc

• Rehabilitation Hospital Unit in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Rehabilitation Hospital Unit in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.