Individual provider Active NPI

Christy Elaine Lee, APRN-BC

  • Adult Health Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1932406832
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN044564-AP06106 Issued in LA
Practice address
850 Kaliste Saloom Rd Ste 122
Lafayette, LA 70508-4230
Phone
(337) 235-9355
Fax
(337) 235-9356
NPI assigned
Feb 12, 2011
Last updated
Aug 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN044564-AP06106 LA Primary

Addresses

Primary practice location

850 Kaliste Saloom Rd Ste 122
Lafayette, LA 70508-4230

Mailing address

850 Kaliste Saloom Rd Ste 122
Lafayette, LA 70508-4230
Phone (337) 235-9355

Other practice location 1

2390 W Congress St
Interventional Radiology Department
Lafayette, LA 70506-4205
Phone (337) 261-6000 ext. 6208

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
I20130927000165 LA Practitioner - Nurse Practitioner 9032343322 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insulinic of Lafayette LLCGroup PAC ID 8123411923, 2 clinicians

Practice addresses (Care Compare)

220 Johnston St
Lafayette, LA 70501-8059
Phone (337) 254-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN044564-AP06106LAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Insulinic of Lafayette LLC CurrentSince Aug 1, 2022 Accepting new patients
Checkup, LLC CurrentSince Sep 20, 2017 Accepting new patients
Insulinic LLC PastSince Aug 1, 2022 Accepting new patients

Locations

4016 Highway 90 E
Ste 113
Broussard, LA 70518
Phone (337) 254-9999

220 Johnston St
Lafayette, LA 70501
Phone (337) 254-9999

850 Kaliste Saloom Rd
Ste 122
Lafayette, LA 70508
Phone (337) 235-9355

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1297468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1932406832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 KALISTE SALOOM RD STE 122",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084230",
            "telephone_number": "337-235-9355",
            "fax_number": "337-235-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 KALISTE SALOOM RD STE 122",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084230",
            "telephone_number": "337-235-9355",
            "fax_number": "337-235-9356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2390 W Congress St",
            "address_2": "Interventional Radiology Department",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705064205",
            "country_code": "US",
            "telephone_number": "337-261-6000 x6208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHRISTY",
        "middle_name": "ELAINE",
        "credential": "APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-12",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "RN044564-AP06106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.