Active NPI
Stella Boustany Noel, MD
- Dermatology Physician
- Lafayette, LA
National Provider Identifier
1992813612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 017731
- Practice address
- 1211 Coolidge Blvd
Suite 400
Lafayette, LA 70503-2638 - Phone
- (337) 235-9779
- Fax
- (337) 235-0654
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 017731 | LA | Primary |
Addresses
Primary practice location
1211 Coolidge Blvd
Suite 400
Lafayette, LA 70503-2638
Mailing address
1211 Coolidge Blvd
Suite 400
Lafayette, LA 70503-2638
Phone (337) 235-9779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1377635 | Medicaid | LA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 017731 | LA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacque F. Noel, III, M.D. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Gastroenterology Physician
- Lafayette, LA
- NPI 1497955405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310947200000",
"number": "1992813612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 COOLIDGE BLVD",
"address_2": "SUITE 400",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032638",
"telephone_number": "337-235-9779",
"fax_number": "337-235-0654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 COOLIDGE BLVD",
"address_2": "SUITE 400",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032638",
"telephone_number": "337-235-9779",
"fax_number": "337-235-0654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOEL",
"first_name": "STELLA",
"middle_name": "BOUSTANY",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2011-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "LA",
"license": "017731",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1377635",
"state": "LA"
}
],
"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 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.