Child and Adolescent Clinic of Crowley

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

MD02295 Issued in LA

Legal business name

CHILD AND ADOLESCENT CLINIC OF CROWLEY

Practice address

1307 Crowley Rayne Hwy
Suite B
Crowley, LA 70526-8210

Phone

(337) 783-6857

Fax

(337) 783-6167

NPI assigned

Jun 25, 2008

Last updated

Jun 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. S. Sangeeta Krishen, M.D.

Title

Owner/Physician

Phone

(337) 783-6857

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1891957593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 CROWLEY RAYNE HWY",
            "address_2": "SUITE B",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705268210",
            "telephone_number": "337-783-6857",
            "fax_number": "337-783-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 CROWLEY RAYNE HWY",
            "address_2": "SUITE B",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705268210",
            "telephone_number": "337-783-6857",
            "fax_number": "337-783-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND ADOLESCENT CLINIC OF CROWLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "KRISHEN",
        "authorized_official_first_name": "S.",
        "authorized_official_middle_name": "SANGEETA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "337-783-6857",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "LA",
            "license": "MD02295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1693197",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Houston Quinn Champagne, B.S.
• Diane Chapman, R.N.,M.S.N.,C.P.N.P.
• Charles L. Anzalone, D.D.S.
• Check Point Urgent Care of Crowley LLC
• Hines Lawrence Chiasson, RPH
• Chiropractic Wellness Centers of Acadiana LLC
• Christ Centered Counseling
• Christian Villa Nursing Home
• Kara Elizabeth Clark, LCSW
• Ryan Eraine Clemons, LPC

• Pediatric Adolescent Medicine Physician in Crowley, LA
• Providers in Crowley, LA by specialty
• Pediatric Adolescent Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.