Individual provider Active NPI

Larrica Davis, FNP

  • Family Medicine Physician
  • Lafayette, LA
National Provider Identifier
1821759697
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
222384 Issued in LA
Practice address
913 S College Rd Ste 216B
Lafayette, LA 70503-3060
Phone
(337) 345-1100
Fax
(337) 458-8318
NPI assigned
Jan 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 222384 LA Primary

Addresses

Primary practice location

913 S College Rd Ste 216B
Lafayette, LA 70503-3060

Mailing address

913 S College Rd Ste 216B
Lafayette, LA 70503-3060
Phone (337) 345-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Mark F Ellis Dpma Professional Medical Corporation CurrentSince Aug 25, 2024 Accepting new patients
Southcare Medical LLC PastSince Apr 10, 2023 Accepting new patients

Locations

913 S College Rd
Ste 216B
Lafayette, LA 70503
Phone (337) 345-1100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1821759697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 S COLLEGE RD STE 216B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033060",
            "telephone_number": "337-345-1100",
            "fax_number": "337-458-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 S COLLEGE RD STE 216B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033060",
            "telephone_number": "337-345-1100",
            "fax_number": "337-458-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LARRICA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "222384",
            "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 Aug 14, 2023; 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.