Active NPI
Maraist Foot and Ankle Center LLC
- Podiatrist
- Lafayette, LA
National Provider Identifier
1952812455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- DPM.200012
- Legal business name
- MARAIST FOOT AND ANKLE CENTER LLC
- Practice address
- 185 S Beadle Rd # B2
Lafayette, LA 70508-4287 - Phone
- (337) 234-0384
- Fax
- (337) 761-6021
- NPI assigned
- Oct 24, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelli Duhon
- Title
- Administrator
- Phone
- (337) 280-6298
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | DPM.200012 | LA | Primary |
Addresses
Primary practice location
185 S Beadle Rd # B2
Lafayette, LA 70508-4287
Mailing address
185 S Beadle Rd # B2
Lafayette, LA 70508-4287
Phone (337) 234-0384
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1150100 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clinic@maraistfoot.imed.phimailbox.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
185 S Beadle Rd
#B2
Lafayette, LA 70508
Phone (337) 234-0384
185 S Beadle Rd
Ste B2
Lafayette, LA 70508
Phone (337) 234-0384
Interoperability endpoints
- clinic@maraistfoot.imed.phimailbox.com
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Opelousas, LA
- NPI 1609034800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709596800000",
"number": "1952812455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 S BEADLE RD # B2",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705084287",
"telephone_number": "337-234-0384",
"fax_number": "337-761-6021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 S BEADLE RD # B2",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705084287",
"telephone_number": "337-234-0384",
"fax_number": "337-761-6021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARAIST FOOT AND ANKLE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-24",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A",
"authorized_official_last_name": "DUHON",
"authorized_official_first_name": "KELLI",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "337-280-6298"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "LA",
"license": "DPM.200012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1150100",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clinic@maraistfoot.imed.phimailbox.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "185 S BEADLE RD #B2",
"city": "Lafayette",
"state": "LA",
"country_code": "US",
"postal_code": "70508",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.