Active NPI
John-Mario Walter Altamirano, FNP
- Nurse Practitioner
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP08184
- Practice address
- 2730 Ambassador Caffery Pkwy
Lafayette, LA 70506-5939 - Phone
- (337) 988-1585
- Fax
- (337) 981-4694
- NPI assigned
- Mar 10, 2015
- Last updated
- Jan 20, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP08184 | LA | Primary |
Addresses
Primary practice location
2730 Ambassador Caffery Pkwy
Lafayette, LA 70506-5939
Mailing address
2730 Ambassador Caffery Pkwy
Lafayette, LA 70506-5939
Phone (337) 988-1585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2387022 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2730 Ambassador Caffery Pkwy
Lafayette, LA 70506-5939
Phone (337) 988-1585
4909 Great River Dr
Meridian, MS 39305-2664
Phone (601) 282-8980
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP08184 | LA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lsuhn Billing LLC | Current | Accepting new patients | |
| University Hospital & Clinics, Inc. | Current | Accepting new patients | |
| University Hospital & Clinics Inc | Current | Accepting new patients | |
| Lsuhn Billing LLC | Current | Accepting new patients |
Locations
2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000
Interoperability endpoints
- jaltamirano883060@direct.ochsner.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Houma, LA
- NPI 1982689113
MS
-
- Multi-Specialty Clinic/Center
- Lafayette, LA
- NPI 1992975775
-
- Anesthesiology Physician
- Lafayette, LA
- NPI 1639518087
-
- Oral and Maxillofacial Surgery (Dentist)
- Baton Rouge, LA
- NPI 1306247556
-
dba University Hospital & Clinics OutPatient Pharmacy
- Community/Retail Pharmacy
- Lafayette, LA
- NPI 1740739044
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Acadia General Hospital
- General Acute Care Hospital
- Crowley, LA
- NPI 1669882940
-
- Critical Access Hospital
- Kaplan, LA
- NPI 1245617562
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
-
dba Ochsner American Legion Hospital
- General Acute Care Hospital
- Jennings, LA
- NPI 1184373268
-
dba St Martin Hospital
- Critical Access Hospital
- Breaux Bridge, LA
- NPI 1437482817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579478400000",
"number": "1659764041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 AMBASSADOR CAFFERY PKWY",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705065939",
"telephone_number": "337-988-1585",
"fax_number": "337-981-4694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 AMBASSADOR CAFFERY PKWY",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705065939",
"telephone_number": "337-988-1585",
"fax_number": "337-981-4694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTAMIRANO",
"first_name": "JOHN-MARIO",
"middle_name": "WALTER",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-10",
"last_updated": "2020-01-20",
"certification_date": "2020-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "AP08184",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2387022",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
- Lauren Alonzo, BCBA
- Alpha Tax and Financial Services, LLC
- Alpha Transport Services LLC
- Morgan Ducote Alpha, APRN, FNP-BC
- Kennedy Alsandor
- Loree A Altazan
- Dean Edmund Altenhofen II, L.P.C
- Alternative Home Care Specialists Inc
- Alternative Home Care Specialists, Inc.
- Alternative Home Care Specialists, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.