Individual provider Active NPI

Elizabeth Kennedy Lejeune

  • Medical Oncology Physician
  • Lafayette, LA
National Provider Identifier
1912351370
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
309780 Issued in LA
Practice address
1211 Coolidge Blvd Ste 100
Lafayette, LA 70503-2638
Phone
(337) 289-8400
NPI assigned
Apr 21, 2016
Last updated
Jun 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 309780 LA
Hematology (Internal Medicine) Physician 207RH0000X 309780 LA
Medical Oncology Physician 207RX0202X 309780 LA Primary

Addresses

Primary practice location

1211 Coolidge Blvd Ste 100
Lafayette, LA 70503-2638

Mailing address

1211 Coolidge Blvd Ste 100
Lafayette, LA 70503-2638
Phone (337) 289-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221123000456 LA Practitioner - Internal MedicinePractitioner - Hematology 2961790241 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology
Education
Louisiana State University School of Medicine in New Orleans, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1211 Coolidge Blvd
Suite 404
Lafayette, LA 70503-2638
Phone (337) 769-2531

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7991

1305 Crowley Rayne Hwy
Suite 200
Crowley, LA 70526-8202
Phone (337) 788-6545

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
309780LAMDHematology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette General Medical Center Inc. CurrentSince Aug 29, 2022 Accepting new patients
Lafayette Health Ventures Inc CurrentSince Feb 23, 2023 Accepting new patients
Lafayette Health Ventures Inc CurrentSince Feb 23, 2023 Accepting new patients
University Hospital & Clinics, Inc. CurrentSince Mar 23, 2024 Accepting new patients
Lafayette General Medical Center Inc. CurrentSince Aug 29, 2022 Accepting new patients
University Hospital & Clinics Inc CurrentSince Mar 23, 2024 Accepting new patients
Louis C. Blanda, Jr., MD, Apmc PastSince Jun 12, 2022 Accepting new patients
Lafayette Health Ventures, Inc Internal Medicine Past Accepting new patients

Locations

1305 Crowley Rayne Hwy
#200
Crowley, LA 70526
Phone (337) 788-6545

1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222

1211 Coolidge Blvd
Ste 100
Lafayette, LA 70503
Phone (337) 234-5234

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

1216 Camellia Blvd
Lafayette, LA 70508
Phone (337) 769-0069

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

Organizations & group practices 8

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1912351370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 COOLIDGE BLVD STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032638",
            "telephone_number": "337-289-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 COOLIDGE BLVD STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032638",
            "telephone_number": "337-289-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEJEUNE",
        "first_name": "ELIZABETH",
        "middle_name": "KENNEDY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "309780",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "LA",
            "license": "309780",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "LA",
            "license": "309780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.