Christina Daigle, MPAS, MLA
Individual provider Active NPI Medical Physician Assistant · Luling, LA
NPI 1861058752 · NPPES record last updated May 15, 2019
Key facts
- NPI
- 1861058752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- Practice address
- 1057 Paul Maillard Rd Ste 2210
Luling, LA 70070-4349 - Phone
- (504) 722-9086
- NPI assigned
- May 15, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Kidney Specialists - Gretna LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Yes |
Addresses
Primary practice location
1057 Paul Maillard Rd Ste 2210
Luling, LA 70070-4349
Mailing address
2721 Cedarlawn Dr
Marrero, LA 70072-5413
Phone (504) 920-0708
Other providers in Luling, LA
- Christopher Cronin
- Thomas Clay Crouch
- Stephen Lawrence Curry
- Cypress PT Charles LLC
- Alexis Daigle
- Jennifer Davison
- Robert Earl Dawson
- Barbara A Dehon-Manuel
- Ashley Mehrtens Desselle
- Deborah Eileen Deubler
All providers in Luling, LA · Medical Physician Assistant in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.