Active NPI
Taylor James Rene Belaire, FNP
- Family Nurse Practitioner
- Lake Charles, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 218663
- Practice address
- 2750 Aster St
Lake Charles, LA 70601-8824 - Phone
- (337) 480-8900
- Fax
- (337) 480-8901
- NPI assigned
- Feb 23, 2021
- Last updated
- Jan 16, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 218663 | LA | Primary |
Addresses
Primary practice location
2750 Aster St
Lake Charles, LA 70601-8824
Mailing address
PO Box 122539 Dept 2539
Dallas, TX 75312-0001
Phone (337) 494-2772
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2563050 | Medicaid | LA | |
| 218663 | Other | LA | STATE NP LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | intmed@mmg.imed.phimailbox.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2750 Aster St
Lake Charles, LA 70601-8824
Phone (337) 480-8900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Charles Medical Services Family Practice Associates, LLC | Current | Accepting new patients |
Locations
1890 W Gauthier Rd
Ste 155
Lake Charles, LA 70605
Phone (337) 477-6061
217 Sam Houston Jones Pkwy
Ste 104
Lake Charles, LA 70611
Phone (337) 480-8989
2750 Aster St
Lake Charles, LA 70601
Phone (337) 478-2650
Interoperability endpoints
- intmed@mmg.imed.phimailbox.com
- tbelaire5281968@direct.casso.us.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Family Medicine Specialists
- Family Medicine Physician
- Lake Charles, LA
- NPI 1396926069
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Digestive Health Center of SWLA
- Gastroenterology Physician
- Lake Charles, LA
- NPI 1285351411
Hospital
-
dba Rheumatology Associates
- Rheumatology Physician
- Lake Charles, LA
- NPI 1659424075
Hospital
-
dba Lake Charles Memorial Hospital
- General Acute Care Hospital
- Lake Charles, LA
- NPI 1972549855
-
- Home Health Agency
- Kinder, LA
- NPI 1295128031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1730773524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 122539 DEPT 2539",
"city": "DALLAS",
"state": "TX",
"postal_code": "753120001",
"telephone_number": "337-494-2772",
"fax_number": "337-494-2928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 ASTER ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018824",
"telephone_number": "337-480-8900",
"fax_number": "337-480-8901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELAIRE",
"first_name": "TAYLOR",
"middle_name": "JAMES RENE",
"name_prefix": "Mr.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-23",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "218663",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2563050",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE NP LICENSE",
"identifier": "218663",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "intmed@mmg.imed.phimailbox.com",
"affiliation": "N",
"endpointDescription": "direct email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2770 3rd Ave Ste 350",
"city": "Lake Charles",
"state": "LA",
"country_code": "US",
"postal_code": "706010404",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.