Childrens Clinic of Acadiana LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

AP04543 Issued in LA

Legal business name

CHILDRENS CLINIC OF ACADIANA LLC

Practice address

850 N Pierce St
Suite F
Lafayette, LA 70501-2848

Phone

(337) 237-3501

Fax

(337) 504-4623

NPI assigned

Sep 15, 2009

Last updated

Sep 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mary Amelia Duncan, APRN, FNP-BC

Title

Aprn, FNP, Owner

Phone

(337) 280-4287

Specialties & licenses 1

Addresses

Other names 1

• Childrens Clinic of Acadiana LLC Former legal business name

Locations

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1679806178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N PIERCE ST",
            "address_2": "SUITE F",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705012848",
            "telephone_number": "337-237-3501",
            "fax_number": "337-504-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N PIERCE ST",
            "address_2": "SUITE F",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705012848",
            "telephone_number": "337-237-3501",
            "fax_number": "337-504-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS CLINIC OF ACADIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "AMELIA",
        "authorized_official_title_or_position": "APRN, FNP,  OWNER",
        "authorized_official_telephone_number": "337-280-4287",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "AP04543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childrens Clinic of Acadiana LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Claire E Chevalier
• Kortney Broussard Chevalier, LPC-S
• Children Health Care Clinic of Acadiana
• Children's Critical Care Network of Louisiana
• Children's Multi-Specialty Group LLC
• Childrens Emergency Medicine Network of Louisiana
• Childrens Heart Clinic of Louisiana LLC
• Kristine Falcon Chimento, M.D.
• Chinh Le Apoc
• Spree Chisley, PHARM.D.

• Primary Care Clinic/Center in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.