NPIMap

Organization Active NPI

Prevail Heart Clinic of Lafayette, LLC

  • Cardiovascular Disease Physician
  • Lafayette, LA
National Provider Identifier
1740671619
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD.026644 Issued in LA
Legal business name
PREVAIL HEART CLINIC OF LAFAYETTE, LLC
Practice address
4809 Ambassador Caffery Pkwy
Suite 480
Lafayette, LA 70508-8802
Phone
(337) 806-9734
Fax
(337) 806-9742
NPI assigned
Feb 12, 2015
Last updated
Dec 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kevin A Courville, MD, FACC
Title
President/Owner
Phone
(337) 534-4356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD.026644 LA Primary

Addresses

Primary practice location

4809 Ambassador Caffery Pkwy
Suite 480
Lafayette, LA 70508-8802

Mailing address

4809 Ambassador Caffery Pkwy
Suite 480
Lafayette, LA 70508-8802
Phone (337) 806-9734

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1740671619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE 480",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088802",
            "telephone_number": "337-806-9734",
            "fax_number": "337-806-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE 480",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088802",
            "telephone_number": "337-806-9734",
            "fax_number": "337-806-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVAIL HEART CLINIC OF LAFAYETTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "COURVILLE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "337-534-4356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACC"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "MD.026644",
            "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 Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.