Organization Active NPI

Womens Clinic of Acadiana LLC

  • Specialist
  • Lafayette, LA
National Provider Identifier
1730211541
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
015039R Issued in LA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 015039R LA Primary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1301582MedicaidLA
1136450MedicaidLA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0954440Lourdes Physician Group Acadiana Womens Clinic4540 Ambassador Caffery Suite A110, Lafayette, LA 70508Certificate of waiverOct 22, 2027

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.