NPIMap

Individual provider Active NPI

Christy Lynn Valentine, M.D.

  • Internal Medicine Physician
  • Gretna, LA
National Provider Identifier
1992762603
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD024974 Issued in LA
Practice address
145 Lapalco Blvd
Suite B
Gretna, LA 70056-7149
Phone
(504) 363-4711
Fax
(504) 363-4741
NPI assigned
Apr 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD024974 LA Primary
Pediatrics Physician 208000000X MD024974 LA

Addresses

Primary practice location

145 Lapalco Blvd
Suite B
Gretna, LA 70056-7149

Mailing address

145 Lapalco Blvd
Suite B
Gretna, LA 70056-7149
Phone (504) 363-4711

Other identifiers 1

IdentifierTypeStateIssuer
1424927MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD024974LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Physician Associates, LLC Past Accepting new patients
Valenitne Medical Center, Inc Internal Medicine Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1992762603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 LAPALCO BLVD",
            "address_2": "SUITE B",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567149",
            "telephone_number": "504-363-4711",
            "fax_number": "504-363-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 LAPALCO BLVD",
            "address_2": "SUITE B",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567149",
            "telephone_number": "504-363-4711",
            "fax_number": "504-363-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "CHRISTY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2014-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD024974",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD024974",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1424927",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.