JUSTIN CHARLES ROY (NPI# 1639526809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639526809 |
| Entity Type | Individual |
| Full Name | JUSTIN CHARLES ROY |
| Credential | E.T., |
| Practice Address |
2425 W Congress St Lafayette LA 70506-5548 |
| Practice Telephone | 3373719312 |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | 786746 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528599008 | Justin Barclay Roy | Internal Medicine | 500 University Dr, Hershey, PA 17033-2360 | 2017-03-25 |
| Street Address |
2425 W CONGRESS ST |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-5548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619324886 | Prime Exercise Therapy LLC | Exclusive Provider Organization | 2425 W Congress St, Lafayette, LA 70506-5548 | 2016-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
| Find all providers in zip 70506 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063034965 | Joslyn Burke | Specialist/Technologist | 1834 State Road 25 W, Lafayette, IN 47909-9272 | 2020-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851762421 | Ryan Pickert | Specialist/Technologist | 1201 Clearview Pkwy, Metairie, LA 70001-3419 | 2015-10-08 |
| 1245275031 | Angela Gail Pinsonat | Specialist/Technologist | 7221 Lasalle Ave, Baton Rouge, LA 70806-8147 | 2006-06-17 |
| 1740596550 | Lucinda Yost Perret | Specialist/Technologist | 4200 Houma Blvd, Metairie, LA 70006-2970 | 2010-08-31 |
| 1659603959 | Mary Catherine Murphy | Specialist/Technologist | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2010-02-11 |
| 1801021811 | Gray W. Barrow, M.d., Ltd. | Specialist/Technologist | 4545 Bluebonnet Blvd, Baton Rouge, LA 70809-5602 | 2009-05-19 |
| 1962440404 | Lyle Everett Board | Specialist/Technologist | 8080 Bluebonnet Blvd, Baton Rouge, LA 70810-7827 | 2006-06-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.