Individual provider Active NPI

Gail L Letterle, D.C.

  • Chiropractor
  • Lafayette, LA
National Provider Identifier
1952379422
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
448 Issued in LA
Practice address
620 Guilbeau Rd
Suite D
Lafayette, LA 70506-8709
Phone
(337) 406-0644
Fax
(337) 406-0656
NPI assigned
Mar 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 448 LA Primary

Addresses

Primary practice location

620 Guilbeau Rd
Suite D
Lafayette, LA 70506-8709

Mailing address

620 Guilbeau Rd
Suite D
Lafayette, LA 70506-8709
Phone (337) 406-0644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110330000989 LA Practitioner - Chiropractic 5698958585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1921 Kaliste Saloom Rd
Suite 117
Lafayette, LA 70508-6183
Phone (337) 278-3375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
448LAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Live Oak Health, Inc. Chiropractor CurrentSince Jan 3, 2002 Accepting new patients

Locations

1921 Kaliste Saloom Rd
Ste 117
Lafayette, LA 70508
Phone (337) 210-5827

620 Guilbeau Rd
Ste D
Lafayette, LA 70506
Phone (337) 262-9777

Organizations & group practices 1

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952379422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 GUILBEAU RD",
            "address_2": "SUITE D",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705068709",
            "telephone_number": "337-406-0644",
            "fax_number": "337-406-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 GUILBEAU RD",
            "address_2": "SUITE D",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705068709",
            "telephone_number": "337-406-0644",
            "fax_number": "337-406-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETTERLE",
        "first_name": "GAIL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "448",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.