Lafayette Kidney Care LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

LAFAYETTE KIDNEY CARE LLC

Doing business as

Kidney Care of Louisiana

Practice address

201 4TH St Ste 5a
Alexandria, LA 71301-8421

Phone

(318) 483-1961

Fax

(318) 483-1964

NPI assigned

Jun 7, 2017

Last updated

Jul 24, 2024By 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

Ryan Valle

Title

President

Phone

(781) 699-9362

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kidney Care of Louisiana Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 12

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.

• Khawaja Arsalan Bashir, M.B.,B.S MD

  • Nephrology Physician
  • Alexandria, LA
  • NPI 1902326838
  Medicare reassignment Care Compare group NPD
• Alise H Dozier, FNP

  • Nurse Practitioner
  • Alexandria, LA
  • NPI 1053744516
  Medicare reassignment Care Compare group NPD
• Nicole Guillory, NP

  • Nurse Practitioner
  • Alexandria, LA
  • NPI 1598244006
  Medicare reassignment Care Compare group NPD
• Rajat Gulati, MD

  • Nephrology Physician
  • Alexandria, LA
  • NPI 1992972152
  Medicare reassignment Care Compare group NPD
• Lauren Herron, AG-ACNP

  • Nurse Practitioner
  • Alexandria, LA
  • NPI 1922692599
  Medicare reassignment Care Compare group NPD
• Goutham Talluri

  • Nephrology Physician
  • Alexandria, LA
  • NPI 1588226229
  Medicare reassignment Care Compare group NPD
• Muhannad Alqudsi, MD

  • Nephrology Physician
  • Alexandria, LA
  • NPI 1528297850
  Medicare reassignment NPD
• Robin Ray Bennett, M.D.

  • Nephrology Physician
  • Alexandria, LA
  • NPI 1437142437
  Medicare reassignment NPD
• Macy Dunbar Dauzat, NP

  • Nurse Practitioner
  • Alexandria, LA
  • NPI 1366370421

  Nephrology

  NPD
• Nicholas A Harris, MD

  • Surgery Physician
  • Shreveport, LA
  • NPI 1548551286
  NPD (past)
• Matthew Linger, M.D.

  • Surgery Physician
  • Alexandria, LA
  • NPI 1588009468
  NPD (past)
• Kanna Posina, M.D.

  • Cardiovascular Disease Physician
  • Alexandria, LA
  • NPI 1942513759
  NPD (past)

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1689103335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 4TH ST STE 30105",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018420",
            "telephone_number": "318-483-1961",
            "fax_number": "318-483-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 4TH ST STE 5A",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "318-483-1961",
            "fax_number": "318-483-1964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 W Court St",
            "address_purpose": "LOCATION",
            "city": "Winnfield",
            "state": "LA",
            "postal_code": "714832633",
            "country_code": "US",
            "telephone_number": "318-483-1961",
            "fax_number": "318-483-1964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 South Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Natchitoches",
            "state": "LA",
            "postal_code": "714575037",
            "country_code": "US",
            "telephone_number": "318-483-1961",
            "fax_number": "318-483-1964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAFAYETTE KIDNEY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "VALLE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-699-9362"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2460960",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidney Care of Louisiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyler Lacombe, PHARMD
• George H Lacour, OTR, CHT
• Melanie Blade Lacour, FNP
• Nini Lacour
• Stacee Leatrice Lacour, FNP
• Kendra R Lafountain, RDN
• Christopher Curt Lahaye, ATC,LAT
• Devjani Lahiri-Munir, O.D.
• Taryn Laidler-Mossey
• Sharon Lair, M.A.

• Nephrology Physician in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Nephrology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.