Active NPI
Womens Clinic of Acadiana LLC
- Specialist
- Lafayette, LA
National Provider Identifier
1730211541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 015039R
- Legal business name
- WOMENS CLINIC OF ACADIANA LLC
- Practice address
- 4540 Ambassador Caffery Pkwy
Suite a-110
Lafayette, LA 70508-6928 - Phone
- (337) 984-1610
- Fax
- (337) 984-2136
- NPI assigned
- Mar 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy Hayes
- Title
- Manager
- Phone
- (337) 984-1610
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 015039R | LA | Primary |
| Specialist | 174400000X | 02923R | LA |
Addresses
Primary practice location
4540 Ambassador Caffery Pkwy
Suite a-110
Lafayette, LA 70508-6928
Mailing address
4540 Ambassador Caffery Pkwy
Suite a-110
Lafayette, LA 70508-6928
Phone (337) 984-1610
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1301582 | Medicaid | LA | |
| 1136450 | Medicaid | LA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D0954440 | Lourdes Physician Group Acadiana Womens Clinic | Certificate of waiver | Oct 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
4540 Ambassador Caffery Pkwy
Ste A110
Lafayette, LA 70508
Phone (337) 470-0080
4540 Ambassador Caffery Pkwy
Ste A1
Lafayette, LA 70508
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Lafayette, LA
- NPI 1205836723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1730211541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4540 AMBASSADOR CAFFERY PKWY",
"address_2": "SUITE A-110",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705086928",
"telephone_number": "337-984-1610",
"fax_number": "337-984-2136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4540 AMBASSADOR CAFFERY PKWY",
"address_2": "SUITE A-110",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705086928",
"telephone_number": "337-984-1610",
"fax_number": "337-984-2136"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMENS CLINIC OF ACADIANA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HAYES",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "337-984-1610"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "LA",
"license": "015039R",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "LA",
"license": "02923R",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1301582",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1136450",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
- Women'S & Children'S Pediatric Orthopedic Center, LLC
- Women'S and Children'S Pathology Services
- Women'S Health and Treatment Center of Acadiana, LLC
- Women'S Healthcare Associates of Lafayette, LLC
- Womens & Childrens Pediatric Hematology - Oncology Center LLC
- Womens Multi-Specialty Group LLC
- Lauren Joy Wong, MSN
- Thomas T Wood, M.D.
- Janay Adorianne Woodard, PHARMD
- Theresa Lynette Woodard, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.