Active NPI
Iris A Malone, FNP
- Family Nurse Practitioner
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP03993
- Practice address
- 501 W Saint Mary Blvd
# 416
Lafayette, LA 70506-4600 - Phone
- (337) 289-2596
- Fax
- (337) 289-2226
- NPI assigned
- Jun 13, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP03993 | LA | Primary |
Addresses
Primary practice location
501 W Saint Mary Blvd
# 416
Lafayette, LA 70506-4600
Mailing address
208 Northwood Dr
Lafayette, LA 70501-2355
Phone (337) 289-2596
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1127582 | Medicaid | LA |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
280 A Rees St
Breaux Bridge, LA 70517-4612
Phone (337) 294-0701
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calcasieu Urgent Care, LLC | Current | Accepting new patients | |
| Calcasieu Urgent Care LLC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| St. Mary'S Imaging Center | Past | Accepting new patients | |
| Our Lady of Lourdes Regional Medical Center | Past | Accepting new patients | |
| Scott Family Clinic | Past | Accepting new patients |
Locations
280A Rees St
Breaux Bridge, LA 70517
Phone (337) 294-0701
2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919
64410 Highway 41
Pearl River, LA 70452
Phone (985) 256-4712
132 Well Rd
West Monroe, LA 71291
Phone (318) 217-6521
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Lake Charles, LA
- NPI 1467715490
-
- Rural Health Clinic/Center
- Breaux Bridge, LA
- NPI 1194482398
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
-
- Emergency Medicine Physician
- Lafayette, LA
- NPI 1538181128
-
- Primary Care Clinic/Center
- Scott, LA
- NPI 1447374103
-
- Radiology Clinic/Center
- Lafayette, LA
- NPI 1124044748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1912901406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 NORTHWOOD DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705012355",
"telephone_number": "337-289-2596",
"fax_number": "337-289-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W SAINT MARY BLVD",
"address_2": "# 416",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705064600",
"telephone_number": "337-289-2596",
"fax_number": "337-289-2226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "IRIS",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-13",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP03993",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1127582",
"state": "LA"
}
],
"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 Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.