Organization Active NPI

Lagniappe Medical, PA

  • Family Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1760713598
Registry record updated Jan 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LAGNIAPPE MEDICAL, PA
Practice address
6600 30TH Ave N
St Petersburg, FL 33710-3102
Phone
(727) 318-4463
Fax
(727) 384-8704
NPI assigned
Jan 18, 2010
Last updated
Jan 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2010

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

Authorized official

Name
Dr. Gigi Claire Lefebvre, M.D.NPI 1801908074
Title
Owner
Phone
(813) 610-5076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6600 30TH Ave N
St Petersburg, FL 33710-3102

Mailing address

6600 30TH Ave N
St Petersburg, FL 33710-3102
Phone (727) 318-4463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100415000899 FL Part B Supplier - Clinic/Group Practice 5496882896 Receives reassigned benefits from 1 practitioner
Practice locations: St Petersburg, FL

National Provider Directory

National Provider Directory

Locations

6600 30th Ave N
St Petersburg, FL 33710
Phone (727) 343-2244

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263772800000",
    "number": "1760713598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 30TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337103102",
            "telephone_number": "727-318-4463",
            "fax_number": "727-384-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 30TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337103102",
            "telephone_number": "727-318-4463",
            "fax_number": "727-384-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGNIAPPE MEDICAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-18",
        "last_updated": "2010-01-18",
        "status": "A",
        "authorized_official_last_name": "LEFEBVRE",
        "authorized_official_first_name": "GIGI",
        "authorized_official_middle_name": "CLAIRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-610-5076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.