Organization Active NPI

Raymond F Schneider Memorial Clinic, LLC

  • Rural Health Clinic/Center
  • New Iberia, LA
National Provider Identifier
1972654986
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
129 Issued in LA
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

Updated by the provider on Aug 18, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1037591MedicaidLA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.