Blueprint Hormone and Wellness Center, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

1065909#CFT93 Issued in LA

Legal business name

BLUEPRINT HORMONE AND WELLNESS CENTER, LLC

Practice address

345 Doucet Rd
Suite 229
Lafayette, LA 70503-3488

Phone

(337) 230-9266

NPI assigned

Mar 3, 2016

Organization subpart

No

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

Authorized official

Name

Jason P Allen

Title

Owner

Phone

(337) 230-9266

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458518400000",
    "number": "1831559822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 DOUCET RD",
            "address_2": "SUITE 229",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033488",
            "telephone_number": "337-230-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 DOUCET RD",
            "address_2": "SUITE 229",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033488",
            "telephone_number": "337-230-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEPRINT HORMONE AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-21",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-230-9266"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "1065909#CFT93",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.