Individual provider Active NPI

Lori Angela Gonzales-Qader, M.D.

  • Psychiatry Physician
  • Natchitoches, LA
National Provider Identifier
1619053220
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
21245 Issued in LA
Practice address
210 Medical Dr
Natchitoches, LA 71457-6052
Phone
(318) 357-3122
Fax
(318) 357-3240
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 21245 LA Primary

Addresses

Primary practice location

210 Medical Dr
Natchitoches, LA 71457-6052

Mailing address

210 Medical Dr
Natchitoches, LA 71457-6052
Phone (318) 357-3122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21245LAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Human Services District Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619053220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MEDICAL DR",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576052",
            "telephone_number": "318-357-3122",
            "fax_number": "318-357-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MEDICAL DR",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576052",
            "telephone_number": "318-357-3122",
            "fax_number": "318-357-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES-QADER",
        "first_name": "LORI",
        "middle_name": "ANGELA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "21245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchitoches, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.