NPIMap

Organization Active NPI

Cajun Spine and Sport, LLC

  • Chiropractor
  • Lafayette, LA
National Provider Identifier
1801057120
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1467 Issued in LA
Legal business name
CAJUN SPINE AND SPORT, LLC
Practice address
1602 W Pinhook Rd
Suite 211
Lafayette, LA 70508-3735
Phone
(337) 261-2669
NPI assigned
Jun 19, 2008
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. Kristin L. Boudreaux, D.C.NPI 1376592055
Title
Owner
Phone
(337) 261-2669

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
Chiropractor 111N00000X 1467 LA Primary

Addresses

Primary practice location

1602 W Pinhook Rd
Suite 211
Lafayette, LA 70508-3735

Mailing address

1602 W Pinhook Rd
Suite 211
Lafayette, LA 70508-3735
Phone (337) 261-2669

National Provider Directory

National Provider Directory

Locations

1602 W Pinhook Rd
Ste 211
Lafayette, LA 70508
Phone (337) 261-2669

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": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1801057120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 W PINHOOK RD",
            "address_2": "SUITE 211",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083735",
            "telephone_number": "337-261-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 W PINHOOK RD",
            "address_2": "SUITE 211",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083735",
            "telephone_number": "337-261-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAJUN SPINE AND SPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "BOUDREAUX",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-261-2669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1467",
            "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 Jun 19, 2008; 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.