Individual provider Active NPI

Iris A Malone, FNP

  • Family Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1912901406
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP03993 Issued in LA
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

Updated by the provider on Jun 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1127582MedicaidLA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080303000761 LA Practitioner - Nurse Practitioner 8224112073 Reassigns benefits to 2 organizations

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
Calcasieu Urgent Care LLCGroup PAC ID 5496908071, 132 clinicians

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

OrganizationSpecialtyStatusNew patients
Calcasieu Urgent Care, LLC CurrentSince Apr 27, 2022 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Apr 27, 2022 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 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 PastSince Jul 29, 2012 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.

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

Verify at the official NPI Registry.