Organization Active NPI

Luke Leonards Aprn

  • Psychiatric Hospital
  • Lafayette, LA
National Provider Identifier
1619437522
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
LUKE LEONARDS APRN
Practice address
2520 N University Ave
Lafayette, LA 70507-5306
Phone
(337) 806-8934
NPI assigned
Mar 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Authorized official

Name
Luke Martin Leonards, APRN, FNP-CNPI 1629555875
Title
Owner
Phone
(337) 250-0972

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
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

2520 N University Ave
Lafayette, LA 70507-5306

Mailing address

124 Kellogg Ave
Lafayette, LA 70506-6280
Phone (337) 250-0972

Other identifiers 1

IdentifierTypeStateIssuer
2486110MedicaidLA

Other names 1

  • Luke Leonards APRN Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191218001772 LA Part B Supplier - Clinic/Group Practice 3375977721 Receives reassigned benefits from 1 practitioner
Practice locations: Rayne, LA

National Provider Directory

National Provider Directory

Locations

2520 N University Ave
Lafayette, LA 70507
Phone (337) 234-5614

Practitioners & affiliated clinicians

Practitioners 1

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": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1619437522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 KELLOGG AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066280",
            "telephone_number": "337-250-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 N UNIVERSITY AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705075306",
            "telephone_number": "337-806-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUKE LEONARDS APRN",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "LEONARDS",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-250-0972",
        "authorized_official_credential": "APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2486110",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luke Leonards APRN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Luke Leonards APRN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 12, 2019; 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.