Active NPI
Jinea Renee Chavis
- Prosthetics Case Management
- Lafayette, LA
National Provider Identifier
1720588924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- L95222082199758903
- Practice address
- 601 Loire Ave
Lafayette, LA 70507-2477 - Phone
- (337) 298-7052
- NPI assigned
- Feb 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | L95222082199758903 | LA | Primary |
Addresses
Primary practice location
601 Loire Ave
Lafayette, LA 70507-2477
Mailing address
601 Loire Ave Ste a
Lafayette, LA 70507-2477
Phone (337) 298-7052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L95222082199758903 | LA | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518566400000",
"number": "1720588924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 LOIRE AVE STE A",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705072477",
"telephone_number": "337-298-7052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 LOIRE AVE",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705072477",
"telephone_number": "337-298-7052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVIS",
"first_name": "JINEA",
"middle_name": "RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-14",
"last_updated": "2018-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "LA",
"license": "L95222082199758903",
"primary": true
}
],
"identifiers": [],
"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 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.