Active NPI
Raymond F Schneider Memorial Clinic, LLC
- Rural Health Clinic/Center
- New Iberia, LA
National Provider Identifier
1972654986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- License
- 129
- Legal business name
- RAYMOND F SCHNEIDER MEMORIAL CLINIC, LLC
- Practice address
- 1302 Ed Broussard Road
New Iberia, LA 70563 - Phone
- (337) 229-7929
- Fax
- (337) 229-7927
- NPI assigned
- Jan 16, 2007
- 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
- Nancy Ann Schneider, NP
- Title
- Ceo
- Phone
- (337) 229-6391
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | |||
| Rural Health Clinic/Center | 261QR1300X | 129 | LA | Primary |
Addresses
Primary practice location
1302 Ed Broussard Road
New Iberia, LA 70563
Mailing address
PO Box 408
Loreauville, LA 70552-0408
Phone (337) 229-7929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1037591 | Medicaid | LA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1215162524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219017600000",
"number": "1972654986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 408",
"city": "LOREAUVILLE",
"state": "LA",
"postal_code": "705520408",
"telephone_number": "337-229-7929",
"fax_number": "337-229-7927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 ED BROUSSARD ROAD",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "70563",
"telephone_number": "337-229-7929",
"fax_number": "337-229-7927"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAYMOND F SCHNEIDER MEMORIAL CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2008-08-18",
"status": "A",
"authorized_official_last_name": "SCHNEIDER",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "337-229-6391",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "LA",
"license": "129",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1037591",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Iberia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.