Individual provider Active NPI

Lawrence Wayne Christy I, M.D.

  • Pediatrics Physician
  • Lafayette, LA
National Provider Identifier
1649233974
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD.014624 Issued in LA
Practice address
600 E 3Rd St
Lafayette, LA 70501-6020
Phone
(337) 232-8814
Fax
(337) 234-8542
NPI assigned
Apr 8, 2006
Last updated
Feb 16, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD.014624 LA Primary

Addresses

Primary practice location

600 E 3Rd St
Lafayette, LA 70501-6020

Mailing address

600 E 3Rd St
Lafayette, LA 70501-6020
Phone (337) 232-8814

Other identifiers 1

IdentifierTypeStateIssuer
1312959MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160622002602 LA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3971894908

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.014624LAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1649233974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E 3RD ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705016020",
            "telephone_number": "337-232-8814",
            "fax_number": "337-234-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E 3RD ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705016020",
            "telephone_number": "337-232-8814",
            "fax_number": "337-234-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTY",
        "first_name": "LAWRENCE",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.014624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1312959",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.