Organization Active NPI

Acadia Total Health LLC

  • Internal Medicine Physician
  • Crowley, LA
National Provider Identifier
1770075434
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
112572 Issued in LA
Legal business name
ACADIA TOTAL HEALTH LLC
Practice address
1307 Crowley Rayne Hwy Ste E
Crowley, LA 70526
Phone
(337) 210-4045
Fax
(337) 210-4047
NPI assigned
May 30, 2018
Last updated
Feb 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Authorized official

Name
Taylor Valdetero, APRNNPI 1407252315
Title
Managing Member
Phone
(337) 210-4045

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
Internal Medicine Physician 207R00000X 112572 LA Primary

Addresses

Primary practice location

1307 Crowley Rayne Hwy Ste E
Crowley, LA 70526

Mailing address

1307 Crowley Rayne Hwy Ste E
Crowley, LA 70526-8210
Phone (337) 210-4045

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180626000413 LA Part B Supplier - Clinic/Group Practice 7517212921 Receives reassigned benefits from 3 practitioners
Practice locations: Crowley, LA

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
19D2149680Acadia Total Health1307 Crowley Rayne Hwy, Suite E, Crowley, LA 70526Certificate of waiverMar 6, 2028

National Provider Directory

National Provider Directory

Locations

1307 Crowley Rayne Hwy
Ste E
Crowley, LA 70526
Phone (337) 210-4045

Practitioners & affiliated clinicians

Practitioners 3

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": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1770075434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 CROWLEY RAYNE HWY STE E",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705268210",
            "telephone_number": "337-210-4045",
            "fax_number": "337-210-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 CROWLEY RAYNE HWY STE E",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "70526",
            "telephone_number": "337-210-4045",
            "fax_number": "337-210-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIA TOTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "VALDETERO",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "337-210-4045",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "112572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crowley, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.