Organization Active NPI

Sheila Bolfa Pmhnp BC LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1891552725
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SHEILA BOLFA PMHNP BC LLC
Practice address
2520 N University Ave
Lafayette, LA 70507-5306
Phone
(337) 234-5614
NPI assigned
Mar 6, 2024
Last updated
Mar 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Sheila Bolfa, PMHNPNPI 1487416806
Title
Owner Provider
Phone
(337) 849-8282

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2520 N University Ave
Lafayette, LA 70507-5306

Mailing address

128 Odessa Rd
Duson, LA 70529-4437
Phone (337) 849-8282

Other practice location 1

156 Choctaw Rd
Sunset, LA 70584-5415
Phone (337) 510-5931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240517000332 LA Part B Supplier - Clinic/Group Practice 1254772510 Receives reassigned benefits from 1 practitioner
Practice locations: Scott, LA; Lafayette, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1891552725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 ODESSA RD",
            "city": "DUSON",
            "state": "LA",
            "postal_code": "705294437",
            "telephone_number": "337-849-8282",
            "fax_number": "337-534-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 N UNIVERSITY AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705075306",
            "telephone_number": "337-234-5614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "156 Choctaw Rd",
            "address_purpose": "LOCATION",
            "city": "Sunset",
            "state": "LA",
            "postal_code": "705845415",
            "country_code": "US",
            "telephone_number": "337-510-5931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHEILA BOLFA PMHNP BC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "BOLFA",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "337-849-8282",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "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 Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.