Belle Chasse Family Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13819R Issued in LA

Legal business name

BELLE CHASSE FAMILY MEDICAL CLINIC

Practice address

8200 Hwy 23
Belle Chasse, LA 70037

Phone

(504) 398-1100

Fax

(504) 398-1030

NPI assigned

Aug 31, 2006

Last updated

Aug 16, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathryn Letulle

Title

Billing Supervisor

Phone

(504) 398-1100

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Lawrence A Giamhelluca Hector M Cabrera Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lawrence A. Giambelluca, M.D.

  • Family Medicine Physician
  • Belle Chasse, LA
  • NPI 1992704076
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1750492898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 HWY 23",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "70037",
            "telephone_number": "504-398-1100",
            "fax_number": "504-398-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 HWY 23",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "70037",
            "telephone_number": "504-398-1100",
            "fax_number": "504-398-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLE CHASSE FAMILY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "LETULLE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "504-398-1100"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "L015363",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "13819R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1439151",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1572292",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1441392",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1319627",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawrence A Giamhelluca Hector M Cabrera",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bonnie Aycock
• Kourtnie Baham, MA, LPC, NCC
• Stella Ballay, APRN, FNP-C
• Belle Chasse Dental Center LLC
• Belle Chasse Family Dentistry, LLC
• Laurene' Andree' Bossier, SLP
• Darria Moore Bourgeois
• Joshua Bourgeois, M.ED., PLPC, NCC
• Julie Ann Brand-Vanveckhoven
• Raven Julia Brooks, LPC

• Family Medicine Physician in Belle Chasse, LA
• Providers in Belle Chasse, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.