Life Unlimited, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LIFE UNLIMITED, LLC

Practice address

349 Maryview Farm Road
Lafayette, la 70507
Lafayette, LA 70507

Phone

(337) 212-4122

Fax

(337) 237-2431

NPI assigned

Jan 20, 2021

Organization subpart

No

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

Authorized official

Name

Raquel McCorvey, FNP

Title

Family Nurse Practitioner

Phone

(337) 212-4122

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1609466044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 MARYVIEW FARM ROAD",
            "address_2": "LAFAYETTE, LA 70507",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70507",
            "telephone_number": "337-212-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 MARYVIEW FARM ROAD",
            "address_2": "LAFAYETTE, LA 70507",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70507",
            "telephone_number": "337-212-4122",
            "fax_number": "337-237-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE UNLIMITED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "MCCORVEY",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "337-212-4122",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "AP09649",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.