Organization Active NPI

Acadiana Center for Orthopedic & Occupational

  • Specialist
  • Lafayette, LA
National Provider Identifier
1669598322
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ACADIANA CENTER FOR ORTHOPEDIC & OCCUPATIONAL
Practice address
2501 West Pinhook Road
Lafayette, LA 70508-3818
Phone
(337) 269-0136
Fax
(337) 233-8525
NPI assigned
Mar 22, 2007
Last updated
Feb 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Jane Depriest Levasseur
Title
Administrator
Phone
(337) 269-0136

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 012306 LA
Specialist 174400000X Primary

Addresses

Primary practice location

2501 West Pinhook Road
Lafayette, LA 70508-3818

Mailing address

2501 West Pinhook Road
Lafayette, LA 70508-3818
Phone (337) 269-0136

Other identifiers 1

IdentifierTypeStateIssuer
1457591MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1669598322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 WEST PINHOOK ROAD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083818",
            "telephone_number": "337-269-0136",
            "fax_number": "337-233-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 WEST PINHOOK ROAD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083818",
            "telephone_number": "337-269-0136",
            "fax_number": "337-233-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIANA CENTER FOR ORTHOPEDIC & OCCUPATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "LEVASSEUR",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "DEPRIEST",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "337-269-0136"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "012306",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457591",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 15, 2012; 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.