Youngsville Medical LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP04512 Issued in LA

Legal business name

YOUNGSVILLE MEDICAL LLC

Practice address

3215 East Milton Avenue Suite 1
Youngsville, LA 70592-5546

Phone

(337) 857-2390

Fax

(337) 857-2392

NPI assigned

May 8, 2007

Last updated

Oct 25, 2007By 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

Ms. Shelly Nash, NP

Title

Owner

Phone

(337) 857-2390

Specialties & licenses 1

Addresses

Locations

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.

• Jorge Rafael Belgodere-Bonilla, MD

  • Internal Medicine Physician
  • Broussard, LA
  • NPI 1841306255
  NPD (past)
• Stephen W Darbonne, MD

  • Internal Medicine Physician
  • Youngsville, LA
  • NPI 1588640064
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1770796161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 EAST MILTON AVENUE",
            "address_2": "SUITE 1",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "70592",
            "telephone_number": "337-857-2390",
            "fax_number": "337-857-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 EAST MILTON AVENUE SUITE 1",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925546",
            "telephone_number": "337-857-2390",
            "fax_number": "337-857-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGSVILLE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-857-2390",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP04512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Young Eyes, L.L.C.
• Youngsville Chiropractic, LLC
• Youngsville Eye Clinic LLC
• Youngsville Family Healthcare
• Youngsville Health, LLC
• Youngsville Pediatrics LLC

• Family Nurse Practitioner in Youngsville, LA
• Providers in Youngsville, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.