NPIMap

Organization Active NPI

Lafayette Neonatal Associates PC

  • Neonatal-Perinatal Medicine Physician
  • Lafayette, IN
National Provider Identifier
1669636064
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
01034719A Issued in IN
Legal business name
LAFAYETTE NEONATAL ASSOCIATES PC
Practice address
2400 South St
Lafayette, IN 47904-3027
Phone
(765) 446-9600
NPI assigned
Jul 15, 2008
Last updated
Nov 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Nicole K Hayes
Title
Billing Clerk
Phone
(765) 446-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080N0001X 01034719A IN Primary

Addresses

Primary practice location

2400 South St
Lafayette, IN 47904-3027

Mailing address

2304 Kossuth St
Lafayette, IN 47904-3240
Phone (765) 446-9600

Other identifiers 1

IdentifierTypeStateIssuer
100385780AMedicaidIN

National Provider Directory

National Provider Directory

Locations

2304 Kossuth St
Lafayette, IN 47904
Phone (765) 446-9600

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1669636064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 KOSSUTH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043240",
            "telephone_number": "765-446-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 SOUTH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043027",
            "telephone_number": "765-446-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE NEONATAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "765-446-9600"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "IN",
            "license": "01034719A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100385780A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.